







•o .^* »'. 

























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A 



DR. BATE'S 



TRUE 



ARRiAGE Guide 



A TREATISE FOR THE 



MARRIED AND MARRIAGEABLE, 



BOTH MALE AND FEMALE, 



Containing Information and Salutary Hints for Everyone. 



BY 



DR. J, ^A/^. BATE. 

283 So. Clark Street, 
CHICAGO. 




Hogarth's "Lines of Beauty. 



^y 



DR. BATE^S 



TiaXTEI 



Marriage Guide 

A TREATISE FOR THE 

HAEEIED AND MAEEIAQEABLE, 

BOTH MALE AND FEMALE. 



COlfTAINING INFORMATION AND SALUTARY HINTS FOR 
EVERY ONE. 




Dr. Bate has been longer engaged in the treatmes 
Diseases, SpermatorrhcEa, bexual Debility, Impotency, 
^ ^ peculiar to Females, than any other advertising physician 

■^ , A and having the experience of a long and successful life in hie Special- 
^'■■\yy S ties, he has perfected remedies that are effectual in all these cases. His 
^ I > ' institution has a high reputation for honorable conduct and professional 
•\ V skill, embracing every convenience for patients. Ladies requiring the 

y most delicate treatment, home, board, etc., may call or write with confi- 

dence. His patients are being treated by mail or egress everywhere. 
No matter who have failed, call or write. Advice and consultation free 
and invited. Patients calling see no one but the Doctor. 



BY 



DR. J^^^V. BATE, 
^3 80. Clabk Street, CHICAGO, ILL. 



Copyright, 1889, by Fred E. Bate. 



INTRODUCTION. 



In this little book I have endeavored to give some 
of the leading impediments to marriage, their nature 
and effects. Pains have been taken to make it plain 
even to the most common understanding, and, above 
all, to make it useful; and it is sincerely hoped that 
the young man or woman who peruses this work", 
will rise from it with a better heart. 

I have made the diseases of the sexual organs of 
both sexes my particular study for the past twenty- 
seven years, and such complaints as arise more im- 
mediately from a disorganization of the generative 
system, whether constitutional or acquired. My 
experience in the treatment of cases of this character, 
in all their varied forms and phases, enables me to 
speak confidently and truthfully upon the subject . 
When persons of either sex are about entering into 
matrimony they ought to subject themselves to a 
thorough examination to see if they are in a condition 
to exercise the marital functions; the easy cares of 
married life are sometimes disturbed by the suspen- 
sion of those blessings which consummate the nuptial 
wreath, arising from a variety of causes [treated of 



6 IKTRODUCTIOK. 

in the following pages,] which renders the generative 
powers weak and impotent, yet they can be strength- 
ened and deficient energy improved into functional 
power; and the suffering community, of either sex, 
especially those entering into matrimonial life, ought 
to read this booK carefully and attentively, and avail 
themselves of the advice therein offered. 

It is quite unnecessary to make any apology for 
for publishiiig a book of this nature. The impor- 
tance of the subject on which it treats is recognized 
by the pulpit and by the press; by the learned and 
the unlearned; by the medical profession and by 
their patients. I do not hesitate to assert, that the 
lessons taught by this little book will prove of great 
value to all who study them in a proper spirit. The 
laws of the Creator are absolute and unchanging; it 
is impossible to do evil or to violate those laws with- 
out ill effects resulting. If you would be happy, you 
must be healthy; and if you would enjoy health you 
must study the unchanging laws that govern it. 
Many of the fatal diseases to which man is subject 
arise from passions unrestrained and vicious indul- 
gences. " The solitary vice of Self-pollution,*' says 
Dr. Woodward, '^spreads desolation through the 
land." 

When we see the miserable victims of an insidious 
and unsuspected disease slowly but steadily emaciat- 
ing; when we view a series of phenomena faintly 



IXTRODUCTION. 7 

and indistinctly characteristic of a great variety of 
disorders, such as consumption, wasting away^ loss 
of energy, physical and mental, shall we not investi- 
gate the origin and causes, and endeavor to arrive at 
the true principles of their cure? To these investi- 
gations the author has devoted many years of study, 
and he has endeavored, in this little work, to give 
the results of his mature experience in language that 
all may understand. If his efforts are successful in 
warning one who would otherwise have fallen to the 
fearful consequences of vice, or restoring him who 
otherwise would have been lost, his work has not 
been in vain. I observe, in conclusion, that those 
who wish to consult me for advice or assistance, may 
do so without hesitation, as the most timid may rely 
on my invariably regarding the inviolate secrecy 
which has proved the basis of an extensive and re- 
spectable practice and reputation. 

J, W. BATE, M. D. 



INTRODUCTION. 



ANNOUNCEMENT. 



Dr. J W. Bate, Confidential Physician, 283. 
South Clark Street, Chicago, HL, estabHshed 1850, 
longer engaged in special practice than any physician 
in the city^ — my office is open for consultation on all 
Private or Chronic Diseases, male or female, 
from 9 in the morning till 8 at night, Sundays, from 
10 to 12 A. M. I give special attention to all female 
difficulties. Consultation in person or by letter is 
strictly confidential and free. Patients calling at my 
office see me in person, privately. When I think I 
can not benefit the patient, I frankly tell him or her 
so. I provide my own medicines and spare no ex- 
pense in procuring the best of drugs, and in all 
cases charge for medicines sufficiently to cover ex- 
pense, to be paid for when received, 

A CARD TO inquirers : 

I am often applied to by letter or personally for 
advice, by both young ladies and gentlemen, desiring 
to marry or contemplating marriage, and other mat- 
ters of similar import are frequently laid before me 
in personal consultation or by letter. 

These matters require time and consideration. 
Advice of this character will at all times be cheer- 
fully given, if my terms are complied with, which are 
a fee of II for all such advice, and all such consul- 
tations will be strictly confidential. 



PHYSIOLO&Y OF MARRIAaE, 



Physiology of Marriage. 



The sacred ordinance of marriage emanates from 
the Deity, by whom we are enjoined to ** increase 
and multiply," — hence it is considered honorable 
amongst all men, and should not be entered upon 
carelessly or wantonly, nor without duly considering 
the causes for which it was originally ordained. Mar- 
riage was introduced by the Diyine Creator, in the 
time of man's primitive innocence,' as the means of 
his happiness and the perpetuation of his race. Its 
influence extends from indiyiduals to kingdoms, and 
to the whole world, Jeremy Taylor calls it, '' the 
mother of the world, which preserves cities, and fills 
cities, churches and even heaven itself." It is the 
primitive source of morals and society, the nurse of 
virtue and patriotism, the stay and support of gov- 
ernments. In a word, no other social institution 
exercises so profound an influence on the well-being 
of society. The obligations of marriage are mutual 
and imperative; if any deception is practiced, those 
culpable will, sooner or later, receive punishment in 
the disappointment of their pleasures, the loss of 
their health and the remorse of their own reflections. 
It unfortunately happens in the present artificial 
state of society that many men are unable to marry 
before middle life, perhaps after a youth spent in 



10 PHYSIOLOGY OF MARRIAGE. 

more or less dissipation. — perhaps after having ac- 
quired the seeds of disease and impotenc-e. Then the 
question arises: Is such a man capable of procreating 
healthy children, or of satisfving those desires im- 
planted by nature in the most modest and and Tir- 
tuo :^ : -omen, not less srrcngly than in man him- 
self? The consc"':".SLess -:: defciencv m"s: ca-::se any 
man to feel abashed, a::d iie ca:: ^fer ::: eziuse z\\: 
what must tend to ie;;^:; :be love and resre:: :: n:s 
wife. Ignorance c: :-, d-ns::y unequantd, ui an ob- 
Btinacy unparade^e.i. ':ng prevailed on the topics 
which con'r:! in :5: c:nirde:el" :he :::::e5s o: men 
and women m ^eci.: :_-:. Tnere are certain s:age5 of 
injured health, capa d.r. v early and sk:d.::.l treat- 
ment, of thorough and spee:" :are: : ~i:::, :i 
neglected or injudiciously de a.: ^::d, :-:;;ri aa^._: 
but disgust and misery in mair agr a :d:.g daman. v 
impossible. Xo man is so I'^ei" ^ai.ae as the 

one that is concious that n:s ^.ni^ ,_ u- ^..;: reason for 
complaint; and no woman is so likely to go astray as 
one who is tantalized by the abortive tcving of an im- 
potent husband. We admit nothing :an ias:::y a wife 
in proving false to the marriage vow, and nording 
can ever after restore her to the position of a virtuous 
woman; but cases frequently occur where much 
might be urged in extenuati ^ where he who is 

considered the injured hi]ir_:.^ .;, in reality, more 
guilty than his wife. Women were formed to com- 
plete the well-being of man, and those who abstain 
from intercourse with them are rarely either happy 
or healthy. Marriage constitntes the bond of society, 



1»HY8I0L0GT OF MARRli^GE. 11 

and the respect paid to its ordinances affords the beat 
test of the moral condition of a civilized people; 
but where generative weakness exists, let not the un- 
happy sufferer augment his own misery by the sacri- 
fice of one from whom he can expect nothing but 
dislike, reproaches and contempt, and whose happi- 
ness may be marred. It may be safely afiirmed, that 
a difference of temperament between married persons 
is conducive not only to mutual affection, but to fer- 
tility. Nature appears to desire marriages between 
different families and nations, because such crossings 
of the various races improve and invigorate the 
species. Humboldt aud others have observed that 
the offspring of Europeans and Ethiopians are pecu- 
liarly robust and active. From numerous observations 
of a similar nature, he argues that the best mode of 
eradicating hereditary diseases, gout, scrofula, con- 
sumption, epilepsy, madness, etc., in their early 
tenency, is by the commixture of the species in inter- 
marriage which prevents the transmission of disease 
to the next generation. The mental weakness, as 
well as mean appearance of some of the European 
royal families, is strongly confirmatory of the truth, 
of these principles. Walker, in his admirable and 
interesting work, '* On Intermarriage, " proves 
beyond the possibility of cavil, that insanity, idiocy, 
an.l numerous physical ailments occur four times 
above the average in the offspring of '^family mar- 
riages.^^ When persisted in for some generations, the 
race usually becomes extinct. Nor is th is confined 



13 PHYSIOLOGY OF MARRIAGE. 

fco man alone — the rule extends from man downward 
through the whole realm of animated nature. 

That the happiness of married life may in a great 
measure be secured or defeated by attention to, or 
neglect of, what lies in our power previous to its con- 
summatioD, is as true as that there are duties obliga- 
tory alike upon man and wife after marriage. If a 
man has made a hasty or thoughtless selection, the 
fault is assuredly his own. Although it cannot be 
doubted that warm and mutual affection is an essen- 
tial condition to married felicity, it must be remem- 
bered that passion is a false and treacherous guide, 
when not founded on well-merited and well-defined 
respect. It is often inquired, what is the proper age 
to enter the marriage state? and the question is one 
that is difficult to answer. Much depends upon indi- 
vidual health and temperament; but as a general 
rule, we find the happiest unions, and also the most 
fruitful, when the man marries from the age of 
twenty-five to thirty-five, and the woman is from five 
to seven years younger. Dr. Samuel Johnson ob- 
serves, ''Those who marry at an advanced age will 
probably escape the encroachment of their children; 
but, in diminution of this advantage, they are likely 
to leave them, ignorant and helpless, to a guardian's 
mercy; or, if that should not happen, they must at 
least go out of the world, before they see those they 
love best either wise or great." It is quite certain, 
that on young women marriage will frequently have 
a most beneficial effect. Hysteria, Nervousness, Ir- 



PHYSIOLOGY OF MARRIAGE. 13 

regularity, sometimes even Consumption, are known 
to disappear after marriage. In reference also to the 
male sex. it is quite certain that, independently of 
many morbid affections and habits which marriage 
removes, it augments the energy of the system, of 
the blood-vessels; the distended arteries, pulsating 
with greater force, transmit warmth and animation, 
throughout the body; the muscles become more vig- 
orous, the step more elastic, the voice firmer, every 
physical attribute of humanity becomes boldly devel- 
oped. Marriage, however, is not altogether made up 
of *' sighs and wreathed smiles;" though it has its 
devotions, it has also its obligations; and the divine 
command, '^^increase and multiply," can only be obey- 
ed by those in full possession of mental and bodily 
vigor. Even under the most favorable circumstances 
of youth and vigor, it is necessary to warn the newly 
married couple of the danger of excessive indulgence, 
which injure the health of woman, and, by causing 
many painful diseases, soon renders intercourse ut- 
terly repugnant. It also prevents or impairs the off- 
spring, — for whatever enfeebles or diseases the sexual 
organs must of necessity have that effect . Temper- 
ance in the connubial embrace, as in all other things, 
is the medium which we should observe and recom- 
mend. 

We earnestly advise all who contemplate entering 
the marriage state to take advice from a thoroughly 
qualified practitioner, as to whether there is anything 
to be set right before the marriage is consummated. 
Much misery, perchance innocent lives, may be 



14 PHYSIOLOGY OF MARRIAGE. 

spared by attending to this obvious and easy duty. 
Sometimes an old venereal contamination may be lin- 
gering in the blood. Careful examination and analy- 
sis will decide and treatment for two or three weeks 
may prevent long years of unhappiness. 

In concluding this part of my subject, I may be al- 
lowed to observe that it is right and useful that all 
men should know that there are principles of person, 
al management which cannot be violated without the 
incurring of greivous penalties; it is right that they 
should know when wisdom and regi'et succeed the 
heyday of inconsiderate self-indulgence, how these 
penalties may be mitigated and how the sting oi 
their remorse may ultimately be removed. The most 
absurd of all emotions is that of despair. Let the 
sufferer remember that there is scarcely any degree 
of weakness or functional derangement to which the 
timely aid of science cannot apply a cure. 



'a 





No. 2. Vertical Section of Bladder, Penis and Urethra. 



OEGAI^S OF GEKEBATIOif. 16 



Organs of Generation. 

In order that the reader may fully understand all 
the parts of this work, it is necessary that he should 
be made acquainted with the anatomy of the organs 
or parts which are necessary to reproduction and gen* 
erally called sexual organs. It will be my endeavor to 
convey this knowledge in plain, concise and untech- 
nical language. After a short consideration of the 
structure of the parts, I shall, in the same brief man- 
ner, proceed to a consideration of the physiology or 
functions, when in a state of health; that is to say, 
the use of each part engaged in the generative act will 
be explained. 

The genital organs in the male consist of the penis, 
scrotum, testicles, uretha, or canal through which 
the urine, etc., pass, the vesiculae seminales, or seed 
vessels and the prostate gland. 

The penis or organ of penetration is covered for the 
most part with common skin, but the nut or head, 
called glans penis, in the adult, is generally bare, the 
skin either only covering it in part or leaving it en- 
tirely free. That portion of skin which in children 
covers the glans or head is called the prepuce, and 
is attached to it behind by a bridle or f renum. Nearly 
in the centre of the glans is the opening of the ure- 
thra. It is not necessary here to describe minutely the 



1 OEGANS OF GENERATIOK. 

structure of the penis. Suffice it to say that a portion 
of it consists of cells almost like a sponge, called cor- 
pus spongiosum or erectile tissue, and that it is the 
rush of blood into them that causes distention or 
erection of the part. 

The scrotum or bag is situated at the root of the 
penis, between it and the seat, and is formed of folds 
of loose skin, externally, is generally of a dark color 
in part covered with hair, and is divided into portions 
by a seam running up its centre. This bag contains 
the testicles, one on each side of the seam. 

The testicles which are contained in the scrotum 
after birth, are in the earlier months of life, when 
yet within the womb, situated in the belly near the 
kidney, but some short time before the child is born, 
descend and enter the scrotum. This does not, how- 
ever, always happen, for we find persons in boyhood 
and even in manhood who apparently have but one 
or perhaps no testicles to be felt in the scrotum. This 
does not argue an absence of those organs, but 
only that they have not made their way into the bag. 
A person so situated, therefore, has as much virile 
power as one whose testicles are in the scrotum. 

The testicles are of an oval shape, rather flat on 
each side, and suspended by a ligament or cord on 
the back part, called the spermatic cord. They are 
covered by a membrane [within the scrotum] and 
consist of a soft gray, pulpy substance which if al- 
lowed to float in water, can be drawn out in thin 
strips, to the length sometimes of two or three feet. 
This is the body of the gland which secretes the 



e»trp*t^» eu 



Or(ffet» tf tfit 




Hcatus 
No. 3. The Bladder and Urethra laid open. Seen from above. 



ORGANS OF GENERATIOiq-. 17 

semen; all these strings, or more properly, tubes, at 
length unite and form a duct or passage, the vas def- 
erens for the semen, which they convey to the vmcw^o? 
seminales, or seed vessels. 

The Urethra is the canal which proceeds from the 
bladder at lower part of the penis to its extremity. It 
conveys the urine from the bladder, the semen and 
prostatic fluid are also ejected through it, its length 
is from seven and a half to ten inches. Into it, open 
the vessels which convey the semen, to be ejected 
from it in the act of copulation. About an inch or an 
inch and a half from the mouth or opening of the 
urethra on its lower part, is a small cavity which is the 
seat of the well-known and troublesome disease gon- 
orrhea. 

The vesiculcB seminales (seed vessels) are two small 
bags at the base of the bladder, from whence they 
extend to the base of the prostate gland ; their 
length is about two inches, their breadth is only 
three or four lines, they contain the semen, when 
secreted by the testicles. The front portion of each 
seminal vesicle ends in a narrow tube which unites 
with the vas deferens. The tube from the testicles 
thus making a common passage or duct, called the 
ejaculatory duct, which opens into the urethra and 
through which the semen, etc., flows. 

The prostate gland is of the shape of a chestnut 
and surrounds a part of the neck of the bladder, and 
it is only mentioned here from its secreting a fluid 
which mixes with the semen in the act of coition. 



18 OEGAKS OF GEKERATION". 

The organs of generation in the female are divided 
into the external or copulatiye, and the internal or 
formative. 

The external organs consist of the mons veneris, 
the vulva pudenda, or labia majora, or large lips, the 
clitoris, the labia 7ninora or lesser lips; the hymen 
and the vagina. The internal organs are the uterus 
or womh, the fallopian tubes, and the ovarium. 

The mons veneris is the part in front which is cov- 
ered with hair and slightly elevated by ^ cushion of 
fat nnderneath the skin. It is immediately above 
the proper or external organs of generation, and 
hence has been called mons veneris, or the ven- 
ernal or venus hill. Immediately below it are the 
labia majoria or the larger lips, near the mons they 
are thick and fleshy, but gradually become thin as 
they descend. They are united above the mons ve- 
neris, and this union is called the superior or upper 
commissure; in their descent they are slightly sep- 
arated, but again unite on the perineum just above 
the seat. This union is called the fourchette or fork; 
externally the labia are covered more or less with 
hair; internally they are lined by a delicate mucous 
membrane, like that of the inside of the lips. Be- 
neath the upper commissure and within the lips is 
the clitoris or female penis. This body resembles a 
small male penis, and like it, is capable of erection, 
but not of emission. From the clitoris descends two 
folds of membrane, called the labia minora nymphce 
or lesser lips, they are not unlike in appearance a 




Section of Female Pelvis, showing position of Viscera. 



ORGANS OF GENERATION. 19 

cock's comb, but are of a paler color. They join or 
are lost, as it is allied, on the interior of the labia 
majora; the inner surface of these labia is a contin- 
uation of the vagina. Between these lips and at the 
upper part and just below the clitoris is the meatus 
urinarius or entrance to the urethra, its situation is 
marked by a depression or dimple, but as it is not an 
organ of generation in the female, no further notice 
of it is requisite . 

The hymen, or maiden-head, is a thin, crescent 
shaped fold of the lining membrane of the large labia 
and is placed at the lower part of the yagina and is 
also attached to its sides. There is at the upper part 
a portion of the membrane wanting, or rather a 
space left for the purpose, permitting the menses or 
monthly discharges to have exit. When the hymen 
has been ruptured by coition or destroyed by other 
means, in its place are found several small round 
bodies which are called carunculae myrtiformes 
from some fancied resemblance they bear to myrtle 
berries. 

The vagina, the orifice of the vagina is about an 
inch below the clitoris and within the large lips. In 
the virgin state the hymen in a great measure closes 
it; the vagina i s surrounded at its entrance by a 
muscle which gives it the power of contraction in a 
circular manner. It is a membrane and dilatable tube 
much wider at its upper part than at the lower, it 
extends from the vulva or lips to the neck of the 
womb, and is about four inches in length, but is of 



20 OEGANS OP GEiTEEATIOK. 

greater length on tlie lower than npper part, owing 
to its being curved. It is Tery elastic and hence ca- 
pable of great dilation. It is Hned by mucous mem- 
brane which is so placed as to form a large number 
of folds, these folds are most perceptible in the vir- 
gin state or in those who have not borne children. 
In women who have had many children they are in a 
great degree obliterated. The lower or more exter- 
nal part of the vagina is surrounded by erectile tissue, 
the upper part is nearly free from it. Within the 
vagina are a number of glands for the purpose of se- 
creting mucus to lubricate the lining membrane. 

The perineum which is the space between the low- 
er juncture of the larger labia and the fundament is 
sometimes classed with the organs of generation, but 
it is only so in as much as the vagina runs on the in- 
side of it, 

I>'TER>AL FEMALE ORGANS OF G€>T:EATI0S'. 

The uterus, or wrynih, is situated at the upper 
part of the vagina, into which its mouth and neck 
project, the vagina surrounds and is attached to the 
body of the womb; the womb lies between the blad- 
der and lower bowel, it is kept in its place by four 
ligaments, two called broad, and two called round, It 
is divided into four parts, viz : the fundus or upper and 
broad part, the body, the neck and mouth. The neck as 
already observed, projects into the upper part of the 
vagina. The body tapers gradually from the fundus 
to the neck. At the upper part of the body, where it 



OEQANS OF GENERATION, 21 

joins the fundus are two angles into which the fallo- 
pian tubes are inserted. The fundus is the broad and 
upper. The size of the unimpregnated womb is about 
three inches long and two broad at its upper part, 
but only one below; it is composed of muscular 
structure which admits of much distention or rapid 
growth, so as to contain and allow the growth of the 
fcetus; the internal cavity of the womb is also trian- 
gular and divided into equal halves by two raised 
lines which run along its back and front, at its up* 
per corners or angles there are two small holes which 
lead to the fallopian tubes. The cavity of the un- 
impregnated womb is about three inches by half an 
inch, the weight of a virgin's womb is not above an 
ounce. 

The fallopian tubes (so called from the discoverer 
Fallopius) are attached to the angles of the womb 
by a portion which is nervous and cord-like, the 
other end of the fallopian tubes is broad and fringed, 
and attached to the ovarium. This fringed portion 
has also a fissure or opening into which the ovum is 
received on its liberation from the ovarium, and 
hence carried along the tube to the womb. They 
have from the circumstance of carrying the ovum 
been considered by some anatomists as the excretory 
ducts or tubes of the ovaria, this tube is of very 
small diameter where it enters the womb, so small 
indeed that a bristle will hardly enter it. 

The ovaria or egg -receptacles, (sometimes called fe- 
male testes, and perhaps not inaptly) the seminal 



22 OEGANS OF GEN-EEATIOIT, 

glands of women are two small oyal bodies, they are 
compressed and somewhat irregular in their shape, 
and rough on the surface, and are enclosed in the 
folds of the broad ligaments of the uterus. They are 
fixed to the angles of the womb by their fibrous 
cords which descend from the lower edge. The ova- 
rium is inclosed in a thin coyer, where an ova is di- 
vided it appears a firm, but a vascular substance, in 
which are a number of small vesicles, the ovula or 
eggs of Graaf, and for this reason called ovula 
Graafian a. 

PHYSIOLOGY OF THE ORGANS OF GENERATION. 

At the age of puberty, which is in this country 
about from fifteen to eighteen years of age in the 
male, and from thirteen to sixteen in the female — 
great changes take place in the appearance, voice, 
etc., as well as in the organs of generation them- 
selves; before this time the external and distinctive 
difference between the two sexes are not well marked 
there is the same shrill tone of voice, the same deli- 
cate, soft, and smooth skin, and the same lightness 
of figure in each sex; but no sooner does the age of 
puberty arrive, and the organs of procreation begin 
to be developed, than we find the great changes taking 
place; in the male, the voice becomes rougher, beard 
and whiskers appear and hair appears on the genitals, 
the chest and shoulders enlarge, the mind and body 
are increased in vigor and endurance of fatigue, and 
there is also more courage and resolution, the testicles 
now secrete semen, and there is a desire for sexual 






Jrfery. 
of ard^ 



Iforuiut'jlaftr 




No. 6. The Testis in Situe. The Tunica Vaginalis having been laid open, 



ORGANS OF GEI^^EEATION. ^3 

intercourse. In the female, the changes at puberty 
are of equal importance; there is an increased round- 
ness and fullness of all the limbs, the bones of the 
pelvis are enlarged to form the hips, the breasts in- 
crease in size, the sexual organs are more perfectly 
developed, there is hair upon the pubis and mons 
veneris, the monthly evacuation is established^ she 
is conscious now of being a woman, and becomes 
more reserved in her manners to, and yet more de- 
sirous of attracting the attention of the other sex. 

The general anatomy of the organs employed in 
procreation has already been considered; it therefore 
only remains to take notice of the use or physiology 
of each particular part; and for this purpose I will 
commence with the testicles. They, it will be remem- 
bered, are contained within the scrotum; it is their 
office to secrete from the extremities or terminate 
branches of the arteries with which they are freely 
supplied, a certain fluid, called semen, which is the 
vivific agent of the male, this when secreted is car- 
ried to the vesiculcB seminales by a duct or passage 
called the vas deferens-, in these it is supposed by 
many authors, though denied by John Hunter, to 
remain until it is required for the purpose of impreg- 
nation, and when this is the case it is projected into 
the urethra through a passage called the ductus com- 
munis, together with a secretion from the prostate 
gland, and with it and other glandular secretions 
thrown up from the urethra into the receiving organ 
of the female. 



24 OKGANS OF GElfrERATIOlf. 

The prostate gland secretes a white, opaque and 
viscid fluid, which is discharged by ten or twelve 
openings, into the urethra, and mingles in the bulb of 
the urethra with the semen, and with it is ejected in 
the act of coition; the only use of this fluid appears 
to be that of diluting the semen, and, hence, causing 
it to be spread over a larger surface. 

The urethra^ which commences at the bladder, and 
ends at the glans penis, is the passage through 
which the urine flows, and which receives in its bulb, 
the semen, etc., and, hence, conveys these mixed se- 
cretions into the vagina. 

Il^q penis is capable of considerable elongation and 
rigidity, from the rush of blood into its cells when de- 
sire is excited, and, from this cause, is well fitted for 
the purpose of penetratijig to such a distance into the 
female organs, as to prevent the loss of the semen, 
and facilitate its conveyance to the ovum, which it is 
destined to fecundate; the semen &c., is expelled 
with considerable force by certain muscles of the 
penis, called ejaculators; f^om the delicate texture of 
the covering of the glans, and its being well sup- 
plied with nerves, it is in a great measure the seat of 
pleasure in the male during the act of coition. 

The semen, is heavier than water, is of a peculiar 
smell, like that of a bone when filed, astringent and 
alkaline; it has in it a great number of animalculse, 
which, however, cannot be seen without the aid of a 
powerful microscope; the form and size of these liv- 
ing beings differ in different animals. According to 



V 




No. 7. Vertical Section of the Testicle, to show the arrangement of the Ducts. 



ORGANS OF GENERATIOK. ^6 

some medical writers these minute animalcnlae are 
present only in the semen of persons whose genera- 
tive organs are unimpaired by self-abuse, and hence 
considered by them the criterion of judging of the 
capability of the male to impregnate the ovum of the 
female. Dr. Wagner observes: ** The seminal gran- 
ules are colorless bodies, with dark outlines, round 
and somewhat flattened in shape, and measuring 
from one three-hundredth to one five-hundredth of 
a line in diameter, and in length scarcely surpassing 
one-fiftieth of a line." 

The limits and design of this work will not permit 
the author to dwell longer on these curious animal- 
culsB &c. , but should the reader wish for further in- 
formation on this interesting subject, he may consult 
the works of Dr. Wagner, of the University of Gott- 
ingen, Prevost, Eostock, and A. Thompson (Cyclo- 
poedia of Anatomy, &c.. Art. Generation, page 460) 
in the present day, and also the older ones of Lieu- 
wenhok, who first described them, and Nailer and 
Spallanzani. 

The organs of procreation in the female are more 
complicated and elaborate than those of the male, the 
latter having only to convey the semen to such a sit- 
uation in the female that it may readily fecundate 
the ovum; this act is soon accomplished; but the 
female organs are not only destined to receive semen, 
but they have a long series of processes to perform 
which require a great length of time; they receive 
and convey the seminal fluid to the ovum; the im- 



^6 OEGAKS OP GENEHATIOK. 

pregnated ovum is to be carried into the womb; it is 
to be there nourished and elaborated until it becomes 
a perfect child, and finally the female organs bring 
it forth at the period appointed by nature, a living, 
sentient being. These processes require, as already 
observed, a considerable period of time, and work 
many wonderful changes in the female; we cannot, 
therefore, be surprised, that organs destined for such 
important functions, should be in some measure 
complex. 

When considering the Physiology of the man, I 
commenced with the testes, I will therefore, in my 
description of those of the female, commence with 
the organ, which is by many considered analgous to 
them, viz: the Ovaria, or Egg Vessels, 

The Ovaria are two in number, one on each side; 
they contain in each from fifteen to twenty Graafian 
vesicles, [so called from the first describer, Graaf,] 
or eggs; these vesicles which are furnished with an 
outward covering called the OviscB, are filled with a 
yellow viscid matter, something like "white of egg.'' 
These vesicles are the germ of the future embryo; 
the use then of the ovarium, is to contain the seed 
of the future being, they are connected to the womb 
by the fallopian tubes, whose mouths have the power 
when under the influence of venereal excitement, at 
particular times, of attaching themselves to the ova- 
rium, and grasping it firmly; they receive from the 
ovarium the little vesicle or egg, and convey it to the 
womb by a worm-like motion. 




duct 



No. 8. Base of the Bladder with the Vas Deferens and Vesiculae Seminales. 



OKGANS OF GENERATION. %7 

The uterus, or Womb, which has been likened to 
the nest of a bird, is for the purpose of receiving 
the embryo, and nourishing it until it becomes a 
perfect foetus or child; this it does by the means of 
its blood vessels, which, however, do not go directly 
to the child, but pass through, or rather form a sub- 
stance, called the placenta, and from it the blood re- 
quired to form the child is conveyed to. and from it, 
by a series of vessels, called the umbilical cord, which 
enters the child's body at the navel. The womb, too, 
besides the mere nourishing the child, is endowed 
with the power, at the proper period, of expelling it 
by means of its muscular contraction, into the vagina, 
and hence to the world. The womb also secretes the 
peculiar fluid called the menses or catamenia, which 
is discharged generally about every lunar month, but 
in some females more frequently, in some less fre- 
quently. This fluid which is like blood in appearance 
does not, like blood, coagulate, and is to all intents 
a secretion from the lining membrane of the womb; 
it is from six to eight ounces in quantity and the 
the discharge lasts three, four and six days; and 
is evacuated drop by drop. Most physiologists sup- 
pose this fluid to be for the purpose of preparing the 
womb, and other parts, for conception; others sup. 
pose it to be for the purpose of allaying sexual desire; 
the former supposition is most likely correct, for 
we find the menses cease when impregnation takes 
place, and Mr. Abernethy asserts the latter is equal- 



28 OEGAKS 0^ QEifEfiATIOK, 

ly true; this discharge is also absent when the process 
of suckling is going on. 

The Vagina, is the canal leading from the outer 
or external parts, to the mouth of the womb, it is 
for the purpose of receiving the male organ, its exter- 
nal opening is surrounded by erectile tissues, which 
is supposed to add to the pleasure of the female in 
sexual intercourse; through this canal passes the 
infant in its transit from the womb to the world, it 
also conveys the menstrual secretion. 

The Clitoris, capable of erection like the male penis, 
is the organ of pleasure in woman during the act of 
coition. 

The LaMa minorcB or Nymplioe, which proceed 
from the above, most likely add to the woman's pleas- 
ure, and they also help to give a proper direction to 
the stream of urine, as it flows from the urethra of 
the female. 

The Hymen, — To this membrane no particular use 
is given, though by many persons it is considered the 
padlock or safeguard of virginity; that such is not 
always the fact, the author will prove in the course of 
discussion. 

The External or larger lips, do not play any par- 
ticular part; they very likely add to the pleasure of 
both male and female, and by their softness, thick- 
ness, and being covered with hair, prevent injury to 
the more tender parts below. 

Tlieories of Generation. — So many have been the 
theories of generation, that at the end of the seven- 
teenth century, Drelincourt had collected from 



ORGAKS Oi* GENERATION. 29 

previous authors, no less a number than two hundred 
and sixty-two, which he pronounced *^ groundless 
hypotheses" and Blumenbach, the celebrated Ger- 
man physiologist, when commenting on Drelincourt, 
says; '' there is nothing more certain than that his 
own theory formed the two hundred sixty-^^i>t?.'Mt 
would not be possible to examine all these, we must 
content ourselves with a few of the more prominent. 
Haller has divided these theories into classes, viz: the 
Spermatists , who suppose the offspring to proceed 
entirely from the male; tlnQ Ovists, who suppose it to 
to proceed from the female, and the Syngenesis, who 
consider it to be the product of both male and female. 
Again, one class of Ovists suppose the germ of the 
perfect animal to exist in the ovum, but invisible 
until it is expanded, unfolded or evolved; this is the 
theory of evolution. Another class supposed it to be 
merely formed from dimorphous or shapeless materials 
at the moment it makes its appearance in the ovum 
or eggs; this is theory of Epigenesis. 

The most modern doctrine is that of Epigenesis, 
promulgated by Casper Wolff, in 1759. Harvey and 
Malpighi ascribe the foetus principally to the female, 
and Wolff describes a successive production of organs, 
of the formation of which , previously, there was no 
trace, and showed, also, that after parts are formed, 
they experience many most important changes in shape 
and structure, before they arrive at perfection ; this 
theory of superf ormation of parts is considered to be 
much more probable than that of evolution of pre- 
existing germs, and is, in a great measure, borne out 



30 OSaAKS OF GEKERATIOK. 

by the mieroscopic observations of Meckel, Baer, 
Eatlike, Serres, Roland, Dutroche Prevost, Dumas, 
and a host of other observers of the present day; but 
of this, as of the former theory, evolution, I may ask 
if it is true, what becomes of the mules? It is known 
that the lion and tiger may prove prolific with each 
other, as do the horse and the ass, and the hybrid 
shows the marks and nature of both parents; it is not, 
therefore, possible, in all cases, that the rudiments 
are entirely supplied by the female. 

Of the manner of Impregnation, — Much difference 
of opinion is expressed as to when and where the ovn- 
lum is impregnated; nine times out often, the semen, 
there is little doubt, is received by the womb; and 
hence carried by the Fallopian tubes to the ovarium 
itself. Ruysch says he' 'examined the body of a woman 
struck dead by a dagger in the act of adultery, and 
found the semen m the Fallopian tubes," and, when 
there,it comes in contact with the ovulum, which is in 
proper state for fecundation; the vesicle, or ovulum, 
then bursts; and the ovum, which it now is called, is 
carried into the womb, as already described, leaving 
a mark behind, [which is called a corpus luteum] and 
becomes the embryo. Such is the ordinary manner in 
which conception is achieved, but there are many 
exceptions to the rule; it may, and has happened, 
that conception has taken place when it was impossi- 
ble for the male organ to penetrate the vagina of the 
female, it seems, therefore, likely that the lining mem- 
brane of the vagina, or even of the labia, may in 
some cases, be capable of absorbing a portion of se- 



OBGANS OF GENERATION, 31 

men, sufficient to cause impregnation, or that even 
the aura of it may be sufficient to do so. 

In the generality of women who have had connec- 
tion, the hymen is broken; the large labia more or 
less separated and flaccid; the color of the lining mem- 
brane is paler than in the virgin state; the entrance 
of the vagina more parted, and its rugaB (folds) in a 
measure destroyed, and the bridle or fourchet, es- 
pecially if they have borne children, is wanting. 
Though the former is the general appearance in the 
virgin, and the latter in those who have had sexual 
intercourse, yet it does not follow, from the absence 
of the hymen, or flaccidity of the labia ,&c., that a 
woman is unchaste; accident or disease, may, and 
often does, destroy the hymen, and some have it ab- 
sorbed in infancy; flaccidity of the lips, and non- 
rigidity of the vagina are not unf requently produced 
by disease. 

A woman may, on the other hand, have the hymen 
perfect, or a very small and contracted vagina, and 
yet have had frequent sexual intercourse. A case is 
related by Parent du Chatelet, (see his work on Pros- 
titution in Paris,) of two young women summoning 
a person before the magistrates for calling them pros- 
titutes, and demanding a medical examination to 
disprove the point; the medical man gave it in their 
favor, and yet on further inquiry, they were found 
to have been on the town for a considerable period. A 
Professor of Anatomy relates an instance of the body 
of a woman, upwards of fifty years of age, being 
brought into the dissecting-room of the London Uni- 



32 ORGANS OF GENERATION. 

versity. in which, the hymen was perfect, yet this 
woman had been on the town since the age of fifteen. 
If any of my readers marry and do not find the 
hymen, let them not be uneasy, if their wife is of 
good moral feelings and of honest parentage; its ab- 
sence is no sign of lost chastity. 

THE EFFECTS OF MAKRIAGE UPON HEALTH AND DISEASE. ' 

Marriage being the natural state of adult age, 
there can be no question that it is in many cases, the 
means of preserving health and prolonging life. 
Huf eland, the celebrated German says, '^ There is 
not one instance of a bachelor having attained to 
great age. This observation seems as applicable to 
the female as the male sex; and hence it would ap- 
pear that a certain exercise of the power of genera- 
tion is favorable to longevity; it forms an addition to 
the vital power, and this power of procreating others 
seems to le in the most intimate proportion to that of 
regeneration and restoring one^s self — but a certain 
regularity and moderation are requisite in the em- 
ployment of it; and marriage is the only means by 
which these can be preserved. Marriage, he goes on 
to say in another chapter, moderates and regulates 
enjoyment. ^ That sameness which deters the liber- 
tine from marriage, is highly healthful and necessary, 
for it prevents that irritation occasioned by continual 
change of objects, and which is, therefore more 
weakening. It is like plain simple food, compared 
with that which is compounded and luxurious; the 
former not only promotes moderation, but also long- 



0EGA3S"S OF GENERATION". 33 

evity." Daily observation shows us more old people* 
in proportion of course, who have been married than 
those who have remained single. Marriage also has, 
if we may believe a late writer, much power in pre- 
venting the worst of crimes, self-murder. Forbes 
Winslow, in his Anatomy of Suicide, says, ''it has 
been satisfactorily ascertained that two-thirds of 
those who destroy themselves are unmarried," — does 
not this prove that marriage tends greatly to the 
prevention of mental disease, for I am charitable 
enough to suppose that no man would dare, uncalled 
for, to rush into the presence of his Maker, were it 
not in a state, however temporary, of insanity? Mar- 
riage then has considerable effect in preserving mind 
and body in a state of health; it remains now to 
show its effects upon disease. 

The effects of marriage, or to consider it merely in 
the light of sexual connection, on disease are more 
clearly shown in reference to the gentle sex, than to 
man — for man, to his shame be it said, is generally 
more or less a libertine; but woman, whom the cus- 
toms and well being of society trammel in this par- 
ticular, suffers much from what may be called the 
want of fulfilling her destiny on earth, viz: the bear- 
ing and nourishing of children. I shall not enter 
into a particular detail of the disease in which mat- 
rimony is of service, but content myself with a gene- 
ral consideration of the subject. The peculiar de- 
rangement of the general health, in which there is 
much languor, loss of appetite, wasting of the body, 
greenish color of the skin, and many other appear- 



34 OEGANS OF GENEBATION. 

ances which lead bystanders to fear consumption, is 
often cured by marriage, as is most of the forms of 
nervous and hysteric diseases; how often do we see 
the pale, fragile, sickly girl, who appears to have no 
life in her, shoot into the fine healthy woman, soon 
after marriage? Again, do we not often see the beau- 
tiful young woman, after she passes a certain age, 
gradually sink in form, shape and feature, the 
breasts becoming flat, the limbs less rounded, and 
the features sharp and prominent, losing as it were 
the characteristics of her sex, and becoming before 
the proper time an old woman, or in other words an 
old maid, and why is this? because that part of her 
system which should have been employed upon the 
formation of new beings, has been idle, or rather 
been allowed to prey upon her very vitals. Marriage, 
pregnancy, and the nursing of children, are the 
proper offices of woman, and when these functions 
are not performed, disease, premature old age, acid- 
ity of temper, and comparatively a short life, may be 
looked for; there are many exceptions it is true, but 
exceptions only prove a general rule. To man. also, 
the exercise of the generative functions is as impor- 
tant as to woman, and marriage is the proper sphere 
for such exercise; any other leads to its abuse, which 
is fraught with evils greater than absolute conti- 
nence, which will be described in another part of 
this work. 

CAUSES WHICH INFLUENCE FECUNDITY AND INFECUNDITY. 

In this paragraph I shall glance at the general 
causes of fecundity and its reverse; they are aliment, 



ORGANS OF GENERATION. 35 

occupation and climate. The want of sufficient food, 
there is no question, is often a cause of infecundity; 
so much so, that famine has been known to decrease 
the number of births by nearly one-half; M. Yillerme 
states that in the year 1817, one of great scarcity in 
the east of France, the births diminished one-half of 
ordinary number; on the other hand, too much food, 
or of too stimulating a description, is not favorable 
to fecundity, as may be verified by observing the 
smaller number of children the wealthy have than 
the poor. Sedentary occupations, by producing de- 
rangement of the general health, are likely to de- 
crease fecundity. Climate and season seem to exert 
considerable power; I find the greater bulk of pro- 
geny to be in cold or temperate climates. The in- 
habitants of Russia, Iceland, &c,, are prolific,. while 
the inhabitants of Spain, Peru, Turkey, &c,, have 
but few children; some warm climates, however, ap- 
pear to be favorable to fecundity, as Africa and 
Egypt; many women who went to the latter place 
with the French army bore children there, though 
they were sterile in France. The fecundity of the 
women of Egvpt has been attributed to the use of 
the waters of the Nile, and so far has this been be- 
lieved, that the bottled water of that river has been 
into Europe, and eagerly bought by the childless, in 
hope that it would have the effect of removing their 
sterility; the equality of the temperature of Egypt, 
however, solves the problem of the superior fecundity 
of the women, without attributing supernatural pow- 
ers to the waters of the Nile. The same things which 



36 ORGANS OF GENEEATION. 

cause marsh miasm, viz., heat, moisture, and decay- 
ing vegetable matter, is a considerable enemy to fe- 
cundity. Season, it appears, exerts some influence; 
M. Villerme says that the six months of the year in 
which there most births, occur in the following or- 
der: February, March, January, April, November, 
and September; these refer the conceptions to May, 
June, April, July, February and March. Blundell 
also says, 'though it may be denied that the human 
female has periodical aptitude (for impregnation) I 
think there is something genial in the spring season, 
and we all know that of vernal months. May, per- 
haps, is the one which may put in the fairest claim 
to be the emblem of the blooming virgin." 

Food, occupation and climate, though they have 
an effect on the number of children, or in other 
words, on the fecundity of women, do not render 
them steiile, or the male impotent, nor do they act 
so strongly, as do the particular causes to be pointed 
out in the next chajDter. 

Good and sufficient food, active occupation, with- 
out over-fatigue, a temperate or cool climate, are fa- 
vorable to the national increase of population. Fam- 
ine, sedentary habits; hot or very variable climate, 
are unfavorable to the increase of mankind, and not 
so much from any increase in the number of deaths, 
but in the want of an adequate number of births. It 
has been stated that the habit of using intoxicating 
liquors to excess, is a cause of failure in the genera- 
tive functions, as well as being a likely means of pro- 
ducing offspring of a lower order of intellect and of 



ORGANS OF GENERATION, 37 

but slight physical strength. Combe relates a case, 
taken from the Phrenological Journal, of a woman 
who was intoxicated, being impregnated by a drunk- 
en man, the result of this connection was an idiot; 
and he attributes the want of intellect in the child- 
ren, in many cases, to the intoxication of the parents. 
Burton, in his Anatomy of Melancholy, remarks: ^*If 
a drunken man gets a child, it will never likely have 
a good brain." I think I have myself known one or 
two instances where an addiction fco the use of spirit- 
uous liquors to excess on the part of the woman, hag 
prevented the conception of children, I say, I think 
this was the reason of their sterility, because, pre- 
vious to their intemperate habits they were fecund^ 
and afterwards unfruitful. 

PUBERTY AMD ITS DISEASES, 

There are a number of causes which inflneuce the 
chances of fecundity, or otherwise, which are pres- 
ent before marriage, and which should be taken into 
consideration before either sex should enter into that 
estate. Though not the most important, I will first 
take into consideration, the proper age for marriage, 
with the evils which arise from too early marriages, 
and also too late ones. The proper age for marriage 
varies in different countries; as in warm climates, 
adult age is soon arrived at, and consequently, decay 
is sooner expected than in cold ones. In our own 
country, according to the law, the proper age for 
marriage is twenty-one in the male, and about 
eighteen in the female; but it is generally believed 



38 ORGANS or GENERATION. 

by medical men to be too young, if the persons 
about to marry are desirous of having healthy child- 
ren, and of preserving themselves in good health, to 
old age, and this because at those ages they have not 
arrived at their full growth and vigor; therefore, the 
procreation of children on the part of the male, and 
the bearing them on the part of the female, is very 
likely to stop the further development of their pow- 
ers, and to undermine their constitutions in such 
manner that old age cannot be looked for except pre- 
maturely. There can be no doubt that the best age 
for marriage in man is from twenty-five to thirty:* 
and in woman from twenty.one to twenty-five. Each 
sex at these ages are in full possession of all their 
faculties, bodily and mental, and are in the best sit- 
uations for having healthy children without injury to 
themselves. Thousands of both sexes have been 
brought prematurely to the grave from permitting 
themselves to become boy-fathers and girl-mothers. 
But be it recollected that when marriage at an early 
age is spoken of as injurious to the constitution, pro- 
miscuous or illicit intercourse is very much worse. 
When I speak of a man not marrying until twenty- 
five, I mean that until that time he should really 
live in a state of celibacy. Very late marriages are 
perhaps, more conducive to health than premature 
ones, for old men procreate much more healthy 
children than very young ones; but it is also attend- 
ed with disadvantages; it is not likely if the parent 
is far advanced in years, that he will see his offspring 
grow to maturity. It has sometimes happened that 



ORGAJsTS OF GEKERATlOi^. 39 

the excitement and disturbance to the nervous sys- 
tem on the wedding night, has been so great in the 
male, that death has taken place in the act of copu- 
lation. 

Females should not marry late in life, without 
they are past the age of child-bearing; for, from dis- 
use, the parts concerned in parturition have become 
rigid and unfit for the transit of the foetus, and it 
has happened that women who have married at forty, 
have either lost their lives or suffered most dreadfully 
in giving birth to their infant, which in most cases 
is still-born. Women generally do not have children 
after the age of forty- five, but many continue to bear 
children long after that period, and it is nearly as 
difficult to fix a time when a woman could not possi- 
bly have a child, as to say when a man could not get 
one. 

The proper subjects for marriage are those who 
have arrived at full adult age, are of sound constitu- 
tion, not affected with hereditary disease, as scrofu- 
la, madness, consumption, gout, &c., who have led a 
temperate life, have not been guilty of a certain de- 
grading and secret vice, too prevalent it is to be 
feared in the present day, and, above all who are not 
tainted by the venereal poison, and who in other re- 
spects enjoy sound health. It would be well for fu- 
ture generations, if none were permitted' to marry 
but those of good constitutions, not only in them- 
selves but by descent; thus a healthy vigorous gener- 
ation would be secured, and disease almost banished 
from the world in the course of a few years. 



40 OBGANS OF GENERATION. 

In choosing a partner for life, some attention 
should be paid to the size of the partners as regards 
stature, bulk, &c., as well as other things. It is 
evident, if a very tall and stout man may marry a 
small and delicate woman, the chance is the children 
are also large, so much so it may be that she cannot 
be delivered without the aid of instruments, and 
perhaps not even then without the loss of life; do we 
not often see this happen to the female dog, who has 
had connection with one of her species much larger 
than herself? And that which happens to the lower 
class of animals, is much more likely to occur in the 
highest form, from the peculiar formation of the 
pelvis in the latter. There may be great dispropor- 
tion too in the sexual organs, this, of course, cannot 
be discovered before marriage, therefore, cannot be 
guarded against. This disproportion is sometimes 
so very considerable, that instead of a woman receiv- 
ing pleasure she suffers positive agony from the em- 
braces of her husband, and dreads his approach as 
the worst of tortures; in this case all that the hus- 
band can do is to have patience, and by kindnesstind 
caresses endeavor to remove that sensation of fear 
which most effectually increases the rigidity, and 
prevents the dilation of the parts; let him be gentle 
and refrain from frequent connection; let him bear 
in mind that should his wife have a child, this defect 
in all probability, would be removed, and his love be 
more easily gratified. 

Marriage between persons of very different ages 
should not be allowed, because they lead to vice and 



ORGANS OF GE]!^^ERATION^. 41 

unhappiness, as well as the propagation of unhealthy, 
puny offspring, should there be any. The young man 
who marries an old woman, from inclination, is a 
fool; from interest, a knave; in either case he will 
soon cease to regard her who cannot answer his 
amorous advances, and seek other and younger fe- 
males, and thus seduction and vice, with all their 
long chain of dire evils, are engendered. She, who, 
from any motive, consents to wed a man old enough 
to be her grandfather, cannot hope to be designated 
any better than a church licensed prostitute; for has 
she not sold her youth, her charms, her very soul, 
for rank, fashion, money, and along with these, the 
best and fondest hopes of woman, that of being a 
mother; which hope she either resigns, or gratifies it, 
by becoming something even worse than the poor, 
painted unfortunate — an adultress! Believe me, the 
gilded saloon, the obsequious lackeys, and the 
painted chariot of wealth, are but poor recompenses 
for the absence of the hope of being a happy wife and 
a virtuous mother. 

There are certain other causes which should be a 
complete bar to matrimonial union; the first of these 
is the marriage of near relations by blood, as a too 
close consanguinity between the persons is sure to 
deteriorate the race, and be productive of feeble chil- 
dren; examples of this is found among the old nobil- 
ity of Spain, where the practice of marriage with 
blood relations is much followed, we find that, from 
being one of the finest and most profilic nations in 
the world, they have now sunk to a feeble bodied and 



42 ORGAKS OF GENERATION^. 

imbeoile race. The same thing,' from this system of 
breeding in-and-in, is seen in a marked manner 
amongst the Jews, who, it is well-known, do not 
marry out of their own sect, and thus they transmit 
along with the Jewish face, many hereditary diseases 
as gout, scrofula, consumption, madness, epilepsy. 
&c., &c. ; these would be, in a great measure, coun- 
teracted, by marrying into other races, because the 
good constitution of the man, in one case, would ob- 
yiate, materially, the eyil, or weakness, in the con- 
stitution of the woman, although it would not 
entirely do away with it, and thus a more healthy off- 
spring would be the result; while, of course, by the 
system of close marriages, every evil in the parent is 
continued in the children, and not only bodily defects, 
but also mental weakness. 

When it is known that either party, or their near 
relatives, are afflicted with hereditary disease, such 
as the above named, it should be a bar to the nuptial 
contract, for either their children will be afflicted in 
the same manner, or, as is sometimes the case, the 
disease may step over the generation and fix itself on 
the succeeding one; thus we often find the children 
of a gouty person free from disease, but their children 
afflicted with it. The same may be said of the other 
bodily diseases, and also of those denominated men- 
tal. 

It is hardly necessary to warn against marriage 
with a person known to be afflicted with venereal 
taint; the abhorrence felt for such an one will be the 
best safe safeguard against an union, but the w-erning 



ORGANS OF GENERATION. 43 

must be given to the one who may have this dire di- 
sease lurking in the system; any one who suspects 
that such may be the case, should pause long before 
contracting so solemn an engagement as that of mar- 
riage, and should undergo a proper course of medicine 
under the advice of a competent medical man, before 
doing so, or disease may be communicated, not only 
to the partner chosen for life, but feeble, sickly, dis- 
eased, or still-born children, may be the consequence 
of perhaps a cause barely suspected to exist. The 
late far-famed Mr. Abernethy relates a case where 
still-born child was born after still-born child, and 
yet neither parent exhibited traces of the venereal 
disease; the husband, however, confessed he had had 
secondary symptoms of this malady not long before 
marriage; on this admission, Mr. A. caused both to 
take a proper course of alterative medicines, after- 
wards the lady bore to her husband several healthy 
children. It should also be borne in mind that what 
are called secondary symptoms of venereal disease, 
may make their appearance long after the primary 
sore has healed, and that these secondary symptoms, 
without giving rise to any primary ones, maybe com- 
municated to another person; the late Sir Astley 
Cooper relates a striking case of the above nature in 
his lectures. 

By many, drunkenness is looked upon as hereditary; 
this is not, however, always the case, many fathers 
have sober sons and vice versa, but still, when the 
parents are dissipated, it is very frequently trans- 
mitted to the children, like any other peculiarity of 



44 ORGANS OF GEiq-ERATION, 

dissipation or habit; it would be well, then, for 
either man or woman, to pause before he or she forms 
an alliance with one who came of a notoriously 
drunken stock, for no evil is much greater in life, 
than that of having a husband or wife prone to ine- 
briety, in short an habitual drunkard; from this cause 
alone would spring enough misery to cause life to be 
a curse, and death in any form a blessing. The 
awful disease, mania, in any of its forms, should be 
an insuperable objection to marriage with any mem- 
ber of a family so afflicted, for there is no cause to 
doubt the hereditary nature of this malady; there are 
whole families, the members of which, from gene- 
ration to generation, it is well-known are more or 
less afflicted, at some time of their lives, with mad- 
ness, and some of these families are noble and their 
branches, it is much to be regretted, have been trans- 
ferred to other noble and wealthy families, and have 
not failed to propagate their infirmity. 

Peculiarities of formation of temper, disposition, 
and even modes of thought are transmitted from pa- 
rent to children; thus some families are found, the 
members of which have a supernumerary finger or a 
want of one of those members, or they may have a 
redundancy or a deficiency of some other part; tem- 
per is often transmitted and also peculiar habits, and 
this, even, when the children have never known 
their parent, whose peculiarities they inherit. There 
is no question but that a great improvement, both 
mentally and bodily, would accrue to the offspring, 
from attention to proper objects of marriage, if none 



ORGANS OF GENERATION. 45 

but the perfect were to marry; but, if this were the 
case, the indifferent specimens of poor humanity 
would be condemned to hopeless celibacy; this can- 
not be the case, and man can never hope to improve 
the breed of his species to the same extent as he does 
the breed of cattle, or horses, or even the cultivation 
of flowers; in the two former instances none but the 
best specimens are chosen for breeding, and by cross- 
ing one breed with another any defect in one of the 
parents is counteracted in the offspring by the other 
parent having the defective organ, or part, in a state 
of perfection. But man cannot always discover in his 
charmer the evils of formation that should deter a 
union, but he can avoid the more glaring defects of 
formation, disease, and temper, and this it is his 
duty to do, for the sake of those who are to be the 
fruit of his marriage, as well as for his own happiness: 
and there can be no doubt that by proper attention 
being paid to natural formation and health, even as 
far as we can ascertain it, any race of men would be 
greatly improved, both physically and intellectually. 

Those who are conscious of physical malformation 
of the generative organs; or parts which contain them 
in the female, viz., the pelvis, are not fit objects for 
marriage, and should not enter into wedlock until 
such defects are removed, if they admit of remedy by 
surgical aid; if they do not, they should not marry 
at all. 

The principal malformations in the female sex are 
those of the pelvis and vagina; the pelvis may be so 
small or distorted from disease of the bones during 



46 OEGAIfS OF GENERATION. 

infancy or in after life, that a living child could not 
pass through it, and the mother's life would most 
likely be lost during or soon after the necessary op- 
eration of delivery had been performed. 

Another defect is either the entire absence of the 
outlet from, or imperforation of the vagina; the for- 
mer is obvious to the touch, the latter is generally 
known by the monthly discharge not coming away= 
and causing a great uneasiness; the latter is always 
to be remedied by surgical aid, the former sometimes 
by an operation. 

In the male sex the malformation which presents 
an absolute bar to marriage, is the total absence of 
the penis, though the opposite extreme or very large 
size of that organ (occasioning great injury to the 
woman) should almost be considered an obstacle. 

The absence of the testicles from the scrotum, is 
no bar to marriage; they are still lodged where they 
were before birth: and not in reality absent; and a 
man so situated is quite as capable, some say more 
so, of begetting children as another. 

As one of the great objects of marriage is a contin- 
uation of the species, any known cause of impotency 
on the part of the male, or sterility in the woman, 
should forbid the nuptial rite; as it is well known 
that few unions, to which no children have been born 
are felicitous; and nothing is more likely to cause in- 
fidelity than a want of offspring, and hence perpetual 
misery. 

Impotency is the incapability on the part of either 
man or woman of partaking in the nuptial embrace. 



ORGANS OF GEJS'ERATION. 47 

In the woman it can only arise from malformation oi 
the organs of generation; in man it may arise from 
malformation, or from various bodily or menta? 
causes, which will, in other parts of this work, be de» 
scribed. Sterility is the incapability of reproduction, 
though the organs of procreation may, ap to a certain 
point, be capable of performing their functions; thus 
a woman may be sterile and not impotent, or impo- 
tent from imperforation of the vagina, but not sterile 
if that was removed. Man who,from excess in women. 
Onanism, diseased testicles, &c.,'is incapable of pro- 
creating, though he has all the organs requisite^ is 
sterile; of course if he is impotent, he must of ne- 
cessity be als'o sterile. 

Impotence in the male has been ascribed to various 
causes, the principal ones, however, are malformation, 
as the misplacement of the opening of the urethra, 
the natural absence of the penis, or its removal by 
operation, the removal of both the testes for a dis- 
eased state of them, excess in venereal pleasure. 
Onanism, general debility of the body, paralysis of 
the muscles of the penis, cold temperament, render- 
ing the man insensible to venereal desire and mental 
causes. 

The first named cause, misplacement of the open- 
ing of the urethra, operates by not permitting the 
semen to be sufficiently ejaculated into the vagina to 
produce impregnation, but without the misplacement 
is very great, that is, without the opening is very 
near the root of the penis, or in the perinasum, it 
will hardly do so, as it is sufficient in many cases, 



48 ORGA^srS OF GE^STERATION. 

there being an aptitude on the part of the female to 
become pregnant, that the semen should be merely de- 
posited on the labia for the purpose of producing im- 
pregnation, here it supposed to get mixed with the 
female secretions, and with them become absorbed; 
this then, without the deformity is yery great, will 
hardly cause impotency if a little care is taken by the 
^ male; let it always be understdood that the semen is 
of so subtile a nature that the smallest quantity, even 
if diluted, is sufficient to fecundate a woman who is 
in an apt state to become pregnant. It has been ad- 
vised by some medical men that when, from the 
above cause a man is sterile, the semen should be 
collected and injected into the vagina immediately 
after the act of copulation; it is said it has been done 
with success; of this I have no experience and should 
not recommend so inconsistent an experiment without 
the necessity for having children be more urgent 
than usual. This malformation in some instances, 
especially if not congenital, can be removed by art. 

The next cause, want of penis, is a complete bar to 
sexual intercourse, though the want of this organ 
does not prove a man is incapable of procreating, if 
he had the proper virile organ for conveying the se- 
men; on the other hand, men so unfortunately sit- 
uate i, are tormented much by the desire for sexual 
commerce. If, however, there is the possble rudiment 
of the organ left, in all probability, the man is capable 
of begetting children, though not affording much or 
any pleasure to the female with whom he has inter- 
course. Such a man should not marry; should he do 



OEQAIfS OF GENERATION. 49 

SO, without his wife is a woman of uncommon virtue, 
high morality and cool temperament, he may rest 
assured she will not prove faithful. 

The absence of the testicles from the scrotum 
proves nothing but that, in all probability, they are 
retained in the abdomen; a man thus formed, is as 
capable of procreating as one who is natural in this 
respect; woman, I have heard, have made mistakes 
on this head, and have cause to rue their easy faith, 
and their smattering of learning, which lead to the 
belief of the absence of danger. Truly, in this case 
Pope is right, — ^*a little learning is a dangerous thing." 

If the testicles have been removed on account of 
disease, the procreative power is lost, though some- 
times the inclination for sexual intercourse remains^ 
and the penis is capable of more or less erection, and 
even of ejaculation, but the emission in this case, 
consists of the prostatic fluid and mucus. It is said 
that the female inhabitants of eastern harems not un- 
frequently have recourse to their guardian eunuchs 
to gratify their lust, without danger of becoming 
pregnant. The testicles may be removed by operation 
and yet the man be capable of procreating once, by 
means of the semen which has been secreted, and 
lodged in the vesiculae seminales before the opera- 
tion, afterwards he is barren; several cases of this de- 
scription are related on undoubted authority, one by 
Sir A. Cooper. One testicle is sufficient for the pur- 
pose of generation; nature in this has been bountiful 
as in all the other organs of sense, which arc double, 
not that we could see equally well with one eye ai 



/ 



50 ORGAifS OF GEifERATION, 

with two, but because being provident of us, our 
wise and kind Creator lias bestowed two, lest accident 
should deprive us of sight; to which deprivation we 
should be much more liable if the organ had been 
single. 

Excess in venereal pleasures, especially if practiced 
early in life, and Onanism or masturbation, are very 
often the ause of cmen not being capable of procreat- 
ing; both of them tend to form what is c-alled seminal 
weakness, that is, there will be occasionally through- 
out the day, almostwithout any erection of the penis;^ 
a fluid ejaculated, which does not, however, possess 
a fecundating power, but which weakens so much 
that it reduces youth, as far as the generative func- 
tion is concerned, to the state of old age. 

The solitary vice. Onanism, [the sin of Onan], 
masturbation, self -pollution, call it what you will, is 
detrimental, not only to the individuals who practice 
it, but to future human beings, which will be treated 
of at length, in the after part of this work. 

This vice is often acquired at a very early age by 
children of both sexes, who are committed to the care 
of nurse-maids; these ignorant persons, not unfre- 
quently, when they find a child will not sleep, have 
recourse to playing with their genital organs, for the 
purpose of soothing them to sleep; this prematurely 
excites these parts, and instances are known of child- 
ren, from the age of seven to ten, who, already, 
eagerly practiced this horrid vice; no child should be 
allowed to sleep with a nurse-maid, without a 
thorough knowledge of her character has been pre- 



ORGANS OF GEN^ERATIOU-. 51 

viously obtained, and if possible, children should 
have sepaiate beds. 

Boarding-schools, male and female, are often the 
the hot-beds of self -pollution; the boys in them sleep 
two in each bed, and the younger ones soon learn 
from the older ones this dreadful practice; ushers of 
schools have been accused of teaching such things, 
but I trust for the honor of human nature, that this 
is false. The girls are no better off, but a greater 
degree of secrecy being observed by females, than 
males, the truth is not easily arrived at, and to hint 
to the head of an '^'^Establishment for Young Ladies," 
that the pale looks and ill health of her pupils, in all 
probability, proceeded from this vice, conjoined with 
too little exercise, and tight lacing, would be to pro- 
cure an immediate intimatiion that the meddling 
medical man's services were no longer needed, and, 
however honorable, and upright, the medical man 
may be, he is generally to poor to take such a course> 
especially when he knows that his self-sacrifice would 
not prevent one of these girls from continuing the 
baleful round denominated female education. When, 
however, their pale looks and ill health is continully 
accompanied by excessive nervousness or trembling 
indigestion,and permanent costiveness, a dejected car- 
riage, loss of Spirits and hysteria, unusual sallowness 
of the complexion, every effort upon the part of the 
governess ought to be made to satisfy herself on this 
point; indeed, whenever these appearances are present 
in young women, without any evident hygienic cause, 
the prevalence of this vice may be suspected, and 



6/J ORGAKS OF GEIS-ERATION". 

should insure the attention of their friends — for the 
frightful ravages that this solitary vice makes in the 
constitution can only be appreciated by those who 
have seen its effects — as have most medical men. 

It should be a rule at home, and at school, that 
children should not go to bed until they are tired by 
real exercise in the open air, and are so weary from 
healthful exertion, that the moment they place their 
heads on the pillow, they will fall asleep. 

Excess of venereal enjoyment, even when practiced 
in the manner which Nature points out, causes many 
of the above evils; though not to so great an extent 
as does masturbation, both of the practices having 
considerable effect on the power of the mind. Hufe- 
land, the well-known German author, remarks, "the 
more we stimulate the generative powers, and waste 
its juices, the more does the soul lose its faculty of 
thought, its energy, its acuteness, and its memory, 
Nothing in this world, can so much, and so irretriev- 
ably, ruin the brightest mental powers," — that moral 
galaxy of the first magnitude, — *'as excesses of thi^ 
kind." 

The author makes, in the next sentence, some re- 
marks so applicable to the proper age for intercourse 
and the guarded manner in which it should be in- 
dulged, that I shall not apologize for quoting them. 
"It may be asked," hesays, "what is meant by excess 
in physical love? My answer is, when either sex in- 
dulges that passion too early, before the body is com- 
pletely formed; females before the age of eighteen, 
and males before that of twenty-one; when this en- 



OBGANS OF GEKTERATIOlf. 53 

joymentis too often and too violently repeated, which 
may be known from the following consequences; las- 
situde, dejection, and loss of appetite; when one, by 
frequent change of object and circumstances, or by 
artificial stimulus of spiceries, heating liquors and the 
like, excites new desires in the relaxed powers, or 
makes that exertion during the time of digestion, 
and to include the whole in a few words, when one 
enjoys physical love without marriage; for it is un- 
der the matrimonial tie, which excludes the stimulus 
of variety, and directs the physical propensity to a 
higher moral object, that this passion can be physic- 
ally refined, that is to say, be rendered salutary and 
useful." 

Everything that has here been said is applicable 
in an eminent degree, to Onanism also, for that 
forced and unnatural vice increases, in an extraordi- 
nary manner, the straining of the organs, and the 
weakening connected with it. Onanism in either sex 
does infinitely more mischief than natural enjoyment. 
Horrid is the impression stamped by Nature on such 
an offender. He is like a faded rose — a tree blasted 
in its bloom — a wandering skeleton. All his fire and 
spirit are deadened by this detestable vice; and noth- 
ing remains but debility, languor, livid paleness, a 
withered body and a degraded soul. The eyes lose 
their lustre and strength, the pupils seem sunk, the 
features seem distorted and lengthened, the rosy 
complexion of youth vanishes, and the visage appears 
of a pale leaden color. 

The whole body becomes affected, and sensible of 
the slightest impression; the muscular power is lott, 



54 ORGAXS OF GENERATION. 

sleep brings with it no refreshment, erery movement 
is attended with torture; the legs can no longer sup- 
port the body, the hands tremble, aching pains arise 
in all the limbs, the faculty of thought is deranged, 
and cheerfulness is vanished. The unhappy sufferer 
speaks little, and as if it were only by force, and all 
his former liyliness of mind is depressed. A youth 
endowed by Nature with genius and talents, becomes 
dull or totally stupid ; the mind loses all its taste for 
virtuous and exalted ideas, and the imagination is al- 
together corrupted. The slightest circumstances de- 
tailed respecting female, is capable of exciting in 
him, desire, shame, horror, and repentance, and de- 
spair of his evils being cured renders his misery 
complete. 

The whole life of such a man is a continued sue. 
cession of secret regrets, painful sensations, arising 
from the consciousness of having brought upon him- 
self internal weakness, irresolution, disgust of life; 
and it need excite no surprise that such a wretch 
should at length become a self-murderer, for no man 
is so exposed to suicide as the Onanist. The powers of 
digestion are destroyed, the patient is tormented with 
flatulencies and cramp in the stomach; the blood is 
corrupted, the breast is choked up with phlegm, and 
eruptions of the whole frame; epilepsy, asthma, slow 
fever, debility and premature death, are the con- 
sequences; and if these pages meet the eye of any 
female, whose mind and person has become corrupted 
by this fascinating and detestable practice, let her be 
assured that the consequences to her will be accom- 



ORGAKS OF GENERATION. 55 

panied (if she still persists,) with eyen greater hor- 
rors; and let me, for her own sake, pray of her to 
break off the practice at once — its continuance will 
totally destroy the beauty both of form and features. 

General debility of the body, from whatever cause 
arising, may, for the time, produce Impotency, that 
however, will pass away as strength is acquired; tem- 
porary impotency may also be caused by any exciting 
or depressing passion, which is in operation during 
sexual congress. 

There have been persons of so cold a temperament 
as to be perfectly insensible to the blandishments of 
beauty, and without the least desire for sexual enjoy- 
ments; persons of this kind have, generally, white or 
fair hair; they have little or no beard; the face is 
pale; the flesh soft and hairless; the voice sharp, 
piercing and bell-like in sound, the eyes dull and 
melancholy; the shoulders, straight, and the form 
rounded; the testicles are small and withered, pendu- 
lous and soft, the scrotum is flaccid, there is no hair 
on the pubes, the perspiration is acrid, the sensation 
of fear is easily excited, and the person displays pu- 
sillanimity on the least occasion; such persons who 
are said to be of profound lymphatic temperament, 
are impotent, for, from their state of apathy, erec- 
tion of the penis does not take place. 

Paralysis of the muscles of the penis, by prevent 
ing erection, may also cause impotency; bad stricture, 
by preventing the ejaculation of the seminal fluid, is 
another cause; large scrotal rupture, or great enlarge- 
ment of the testicles, from disease, causing the penis 



56 ORGANS OF GENERATION. 

to be imbedded in the scrotum, may cause impotency, 

but generally admits of relief. 

Mental causes may produce impotency, such as 
disgust for the object, the mind being occupied by 
abtruse studies; excessive desire, which produce so 
great a rigidity of the penis, that the semen cannot 
be ejaculated ; the fear of being impotent is not un- 
frequently the cause of impotency^i Hatred for the 
wife, or satiety, may cause impotency with her, and 
yet with another woman, the man may be capable of 
fulfilling his functions; excess of respectful love has 
also produced the same effect; as also a thousand 
other mental causes, which might be cited, for impo- 
tency at one time, and fruitfulness at another, they 
all admit of cure by appropriate remedies if taken in 
time. 

TJie causes of impotency in women are , congenital 
malformations, or those produced by diseases, they 
are, at least, the more obvious ones, absence, or oblit- 
erations of the sexual organs, as the vagina, or uterus; 
the vagina being very small and contracted, or imper- 
vious from bands of adhesive matter crossing it, or 
tumors occupying it, or want of rupture of the hy- 
men, owing to extreme toughness of that membrane; 
there are also many other causes of imjootency, as 
great confusion of anatomical structure, rendering 
sex doubtful, cohesion of the labia, etc., etc.; some 
of the causes admit of cure, others do not, it were 
in vain, in a work of this nature, to attempt to 
point out all the causes of impotency in women; still 
more idle to suggest a method of cure, every case 



OKGANS OF GEKERATIOK, 67 

requiring a separate study from the surgeou. Let it 
be remembered, that a woman may be impotent, that 
is she may be incapable of receiving, in the ordinary 
manner, the embraces of the male, and yet not be 
sterile. 

But I now have to speak of a very delicate subject; 
one, however, of not very rare occurrence. I mean 
the case of the woman allowing her husband all the 
gratification of the connubial relation without ex- 
periencing any of the pleasures of love's bashful 
rights, and no one but the woman who through years 
and years ha? borne this trouble [sometimes secretly] 
in her heart, knows anything about theblankness of 
life, or the desert through which she passes; the pic- 
ture we cannot draw. I will only say the affection of 
man is not strong enough to put up with such a state 
of things and continue the relation at all. There are 
a few cases which it is impossible to relieve, fortu- 
nately only a few, if scientific medical aid be procur- 
ed and persisted in sufiQciently long, and there are 
actually many cases depending on some vaginal or 
womb derangement, easily curable, overlooked by the 
husband, not thought of by the regular medical at- 
tendant, but the ice is hid in the heart of the woman 
so deeply that even friends do not know it, but it 
continues to cause the world to feel cold an.l unin- 
spiring as long as she lives, if it is uncured. 

The causes of sterility in women are many ; a fre- 
quent one is leucorrhcea or whites; some women are 
so irritable and tenJer, that they will suf^r great 
pain from sexual intercourse, and thus, at least, un- 



58 ORGAKS OF GEXEEATION. 

til such irritability is allayed, sterility is produced; 
the absence of the uterus, would, of course, be a cause 
of sterility, as would also imperyiousness of its 
mouth and neck, or the passage of the fallopian 
tubes to the ovaries being imperforate, or absence of 
these bodies; in these instances no cure can be looked 
for, except in the second, namely, imperforation of 
the mouth of the womb; if this cause was ascertain- 
ed, and the defect was occasioned by accident, as in- 
flammation of the part, causing adhesion, it might 
be remedied by proper instruments, in the hands of a 
skillful surgeon; the first, and two last, cannot be 
remedied; in the first, there could be no place in 
which the foetus could grow; in the others, there 
would either be no ovum, or it could not pass into 
the womb; all diseases which produce constitutional 
disturbance, may cause sterility; as, also, do various 
displacements of the parts of generation, — To dwell 
on all the catises of sterility, would fill a volume, 
without adding much to the knowledge of the non- 
medical man; most of the causes as already shown, 
admit of relief, by surgical aid, which of them do so, 
it would be presumptions in me to pronounce with- 
out an examination or history of the case. 

The moral or mental causes of sterility in women, 
nearly resemble those of impotency in men; they are 
disgust, fear, hatred, timidity, excess of ardor; etc,, 
excesses in venereal pleasures also prevent conception, 
thus we find prostitutes seldom bear children while 
following their occupation, but when they marry, 
they become prolific, if they confine their favors to 
one man. 



ORGAN^S OF GENERATION. 59 

I have dwelt longer on the subject of impotency 
and sterility than I intended, and yet their impor- 
tance is such that I fear I have not said enough. 
Some of the causes named could not be known to 
to the persons themselves, and of course, could be 
deemed no bar to marriage. 

Habitual intoxication and habits of dissipation, 
should also bar marriage, as marriage with such per- 
sons, instead of being a blessing, would be a curse, 
and there is no doubt that habitual intoxication 
either prevents a union being prolific, or when off- 
spring is the result of such union, they are of a lower 
order of mental and bodily strength, than are the 
children of more temperate persons. 

The venereal taint is often the cause of a union not 
being fruitful, as already pointed out. I cannot 
imagine a man or woman marrying, knowing they 
are thus situated, but should such a thing happen, 
they may reckon on either beings barren, or having 
either dead, or children in a state of loathesome dis- 
ease, born to them. It would be futile to reason with 
such persons who could, for a moment, entertain the 
idea of marriage, knowing themselves to be so situat- 
ed. The idea is too horrible for any one to dwell up- 
on one instant, who is not morally beneath the poor 
animals whom he dares to call brutes. 

PROLIFIC AND UNFRUITFUL MARRIAGES-CAUSES, ETC. 

There are several causes which may influence fe- 
cundity in healthy persons, and prevent them from 
having offspring merely from inattention and want 
of knowledge of a few simple facts. 



60 ORGANS OF GEXERATIOK, 

Amongst others, may be cited violence in consum- 
mating marital duties, which in most instances is un- 
necessary. Violence may be carried to so great an 
extent as to produce contusions of the soft parts of 
the "vroman. so that connection afterwards gives her 
excessive pain, and hence, plfc.ces a bar on conception. 
Disproportion of the genital organs is a source of 
much mischief. If rash means are resorted to in the 
consummation of marriage, the neck and mouth of 
the womb may be injured, and sterility be the con- 
sequence, though a little patience and management 
is all that is required to instire conception. 

It sometimes, however, happens that there is so 
very great a disproportion between the male and fe- 
male organs, that copulation is next to, or entirely 
impossible, without great injury to the female. If 
the latter, however, is young, time may effect much, 
aided by very gentle and gradual means of dilatation, 
for a vagina is a canal capable of great extension^ if 
used gently. Ronghness and violence, by producing 
inflammation, would only increase the evil, 

It will be seen from the above, that all violent at- 
tempts at coition are to be avoided. If persevered in, 
great and perhaps irreparable mischief maybe done the 
woman; so much indeed that she may never after be 
able to bear the approach of her husband, or if she 
does permit his embraces, it will be with fear and 
trembling, and this, like other mental emotions, will 
be suflBcient to cause barrenness. Persons thus af- 
flicted should consult me without delav, as I can in a 



ORGAi^S OF GENERATION. 61 

large majority of those cases, give advice and remedy 
that affords immediate relief. 

They who wish to have children, should avoid too 
great and frequent exertion of the genital organs. 
Nothing is more likely to cause sterility than too fre- 
quent indulgence in amorous pleasures. When this 
is the case, it almost reduces the wife to the level of 
a courtezan, at least as far as her chance of becom- 
ing a mother extends, 

A very frequent cause of miscarriage, is the habit 
of still continuing to copulate as often during preg- 
nancy as before that event took place; and thus, un- 
thinkingly, in a thousand cases, are the hopes of the 
married blighted, who had looked fondly forward to 
the day which would have made them parents. It 
IS not, perhaps, necessary that during the whole of 
the period of pregnancy, sexual intercourse should be 
absolutely avoided, . but it should be indulged 
in very sparingly in the earlier and middle 
months, and hardly at all in the latter ones. If the 
promptings of instinct in the female are listened to, 
and acted upon, little mischief will arise, for Nature 
tells her plainly, by a feeling of almost disgust, that 
the approach of the husband will be detrimental to 
her. And I would advise all men who wish to hear 
themselves called by the sacred and endearing name 
of father, to control their own desires and wishes, 
however difficult it may be, for the sake of their un- 
born infant, and the loving and chosen one by their 
side. If they do this, they may hope to see a healthy 
offspring, and smiling wife and mother around their 
table, to cheer the evening of their lives, instead of a 



62 ORGANS OF GENERATION^. 

pale and sickly woman, whose constitution has been 
ruined, whose blood has been drained by frequent 
miscarriages, and whose very heart has been wrung 
by the hopes deferred, which maketh the heart sick 
— together with this, instead of the joyous voices of 
children in whom you would again live, you will 
have a voiceless and childless home. Choose then be- 
tween them; a check for a time on your passions, or 
misery, such only as the old childless can feel, and 
remember that such would be the work of your own 
ungoverned passions. 

It seems almost unnecessary for me to warn my 
readers against having connection with their wives 
when the latter have their monthly illness or menses 
upon them; the act seems of so objectionable a nature 
that I should hope that the very thought would ex- 
cite disgust. It is expressly forbidden by Scripture, in 
chapters XYI and XVIII of Leviticus; in tha last 
named chapter, verse 21, the penalty of this, and 
other unclean acts, is specified: ^^For whosoever shall 
commit them, shall be cut off from among My people. 

And again, chapter XX, verse 18. '^And if a man 
shall lie with a woman, having her sickness, and shall 
uncover her nakedness, he hath discovered her foun- 
tain, and she hath uncovered tho fountain of her 
blood, and both of them shall be cut off from among 
my people." 

It has been held in detestation by all nations, and 
at all times. D'Israeli in the Curiosities of Litera- 
ture, tells a rational story, in which the Devil, under 
the form of Solomon, is discovered in Solomon's 



ORGANS OF GENERATION. 63 

harem, by the exhibition of his lust at this particu- 
lar time; and the Jewish Talmud expressly declares 
coition during the menses, to be one of the sins, for 
the commission of which, women die in child-bed. 
The anger of God and the hatred of men does not, 
however, wholly exterminate the abominable desire, 
and wretches are in existence who induce their wives 
to submit to this pollution, destro3dng all delicacy of 
mind, and expose them to disease in some of the most 
odious forms; in woman it may stop the natural dis- 
charge, which is replaced by one called leucorrhoea,or 
or whites, a very troublesome complaint, not easily to 
get rid of, and which generally renders a female un- 
prolific^ In man, this base indulgence may cause a 
loathsome disease, so like gonorrhoea, that it is 
sometimes difficult to distinguish the true from the 
false; it is also frequently occasions excoriations on 
the penis, through oversight, nearly resembling those 
of a venereal nature, arising from connection with an 
abandoned wom-an. 

These excoriations are by neglect painful, and te- 
dious of cure, and may be followed by sympathetic 
bubo, and various other evils; which may also be 
communicated io the wife. 

The disadvantages arising from connection with a 
woman, who for a time, is declared by the law of God 
to be unclean, might be further dwelt upon, but it is 
needless, as a man of sound mind, of religious feel- 
ings, of cleanliness, in short, he who is not worse 
than a brute beast, will not debase himself, and his 
wife, by being guilty of so disgusting a crime. 



64 ORGAI^S OF GENERATIOJ^. 

With those who are more debased than the brute, 
it is vain to reason; it is vain to point out God's 
Holy Law, they understand it not, or disregard it for 
the sake of a momentary pleasure, degrading: to hu- 
man nature. Such men are not to be restrained by 
considerations of decency or religion; let them be de- 
terred from this atrocity by the consideration of phy- 
sical j3ain, the noxious disease to which they expose 
themselves, and which they may communicate to their 
wives. I will close this chapter by giving such hy- 
gienic and moral precepts, as are likely to be the 
means of securing a healthy, vigorous and intellectual 
offspring; in them are also embodied the opinions of 
the celebrated Hufeland. 

Marry into a family free from hereditary disease, as 
gout, stone, gravel, herpes, scrofula, mania, diseases 
of the skin. 

'^Do not marry a woman of a peculiar nervous tem- 
perament, those who are nervous, epileptical, hyster- 
ical and subject to convulsions, generally give birth 
to short-lived infants," this is Huf eland's opinion, I 
have, however, often known nervous and hysterical 
women cured ly matrimony, and they have borne 
healthful infants — this precept is therefore liable to 
exceptions. 

Do not marry a woman advanced in life, nor 
younger than eighteen or twenty; a man should not 
marry until he is four or five and twenty. 

Do not marry delicate, feeble women, and if you 
wish your children to live long, marry into a family 
remarkable for longevity. 



ORGANS OF GENERATION. 65 

When married — do not indulge in the reproductive 
act but when the impulse is strong, and neyer at- 
tempt it during intoxication; if under such circum- 
stances a child be born, it would probably be a fool 
or imbecile; it should also be avoided if it produces 
more than temporary depression of spirits, or if it 
much affects the intellectual and physical powers; it 
must also be wholly abstained from during the pres- 
ence of the catamenia, or menses ; for a month after 
child-birth, and be seldom and cautiously indulged 
in during pregnancy; it ought not to be performed 
for two hours after any meal, and the best time is un- 
doubtedly in the morning, men who have very much 
corporeal or mental excitement should also be moder- 
ate in this indulgence or they will most likely suffer 
ill consequences, Never forget that a pregnant wo- 
man is to be considered a laboratory in which is pre- 
paring a new human being, to which the slightest 
physical and moral emotion is injurious; on this lat- 
ter precept I must remark that this reflection ought 
to secure to the wife, the most watchful care and 
anxiety of the husband under such circumstances. 
Several of the above precepts require the attention of 
women as well as men. 



66 ONAiflSM. 



Onanism or Self-Pollution. 



Masturbation, the Sin of Onan^ are the names 
commonly given to this jDernicioiis habit, which may 
be defined, a discharge of the semen by the stimulus 
of the virile organ with the hand; the habit, it is said 
of the solitary monk and recluse, as well as of the in- 
considerate yoLith, and too often of those whose riper 
years should prevent their guilty indulgence in an 
act so revolting to humanity, and so destructive to 
every sentiment and feeling of vigorous manhood. If 
we refer to the opinions expressed by the most cele- 
brated physicians amongst the ancients or moderns, 
we find a remarkable uniformity in their opinions on 
this subject. Celsus remarks, — ''These habits are al- 
ways hurtful, and indulgence in them weakens the 
strongest constitutions." Galen gives a correspond- 
ing account of the evils caused by this vice. The 
late Mr. Benjamin Bell, the eminent surgeon of 
Edinburgh, also, in reference to the effects of this 
mdulgence, says,-— "A habit so baneful to many of 
our youth, that I believe it to be more destructive in 
its effects than a greater proportion of all the dis- 
eases to which in early life they are liable . " Besides 
rendering the patient himself miserable, it evidently 
entails the severest distress upon posterity by genera- 
ting languor, debility, and disease^ instead of that 



ONANISM. 67 

Strength of constitution^ without which there can be 
no enjoyment, Lallemand remarks : " Our lunatic 
asylums afford many instances of insanity produced 
by this detestable practice." Nocturnal pollutions, 
or '^wet dreams," are in most cases brought on by 
Onanism. After a short period has elapsed, the noc- 
turnal are now conjoined with diurnal pollutions; 
i^e semen passes off in the urine, or at stool, without 
sensati on, and therefore unmarked by the patient. 

It frequently occurs, as a result of self -pollution, 
more especially when practiced in early youth, that 
the testicles do not attain their full size and powers 
of secreting the semen. This state has been termed 
'^an arrest of development,^^ a phrase which simply 
means that the organs have ceased to grow at a por- 
iod of life previous to puberty. We have seen the 
case of a gentlemen, aged 28, whose penis and tes- 
ticles were not larger than those of a boy ten years 
old. Other cases of similar character have also pre- 
sented themselves to our notice. Such instances are 
not beyond the influence of medicine; unless when 
they occur on the person of idiots. Wasting or dim- 
inution in the size and powers of the organs may oc- 
cur at any age. The testicle may retain its proper 
shape though diminished in size; it feels soft to the 
touch, and loses its elasticity and firmness. In tex- 
ture it is pale, and the bloodvessels seem diminished 
in number, the spermatic cord becomes affected by 
the disease, the nerves shrink, and the cremaster 
mnscle disappears, The thin gelatinous semen which 
is formed, is entirely devoid of spermatic granules 



68 ONANISM. 

and spermatozoa. In other words, its fertilization 
power is lost, and impuissance' gradually results. 
When disei>,se is the cause of the atrophy, the testicles 
may alter in shape, — may become uneyen and irreg- 
ular — sometimes elongated as well as diminished in 
size and weight. There is one form of disease which 
frequently precedes the decay of the organs, and 
which is seldom obseryed by medical men, — a low 
inflammation, quite painless, acts upon the testicles 
and gradually increases the bulk, at the same time 
diminishing the firmness and consistency; in some 
instances the testicles almost feel as if diyiding. On 
inquiring into the origin of these cases, we frequently 
find that a swelled testicle, hernia humoralis, has ex- 
isted, caused by gonorrhoea. Hence the necessity of 
curing urethra 1 discharges as rapidly as possible, and 
the care required in the use of astringent injections. 
Injuries ef the head, or more especially the back part 
of the head, haye been known to produce decay of 
the testicles; and this fact may tend to support the 
theory of the phrenologist that the seat of amatory 
passions is in the cerebellum. Doubtless the brain 
exercises great influence on the desire for sexual 
intercourse, and it is equally certain that there is a 
reciprocal action of the generatiye organs upon the 
brain. Such is the similarity of structure of the 
brain and testicles, and so great the sympathy be- 
tween them, that an extensiye experience during 
many years has proyed that in some instances a species 
of derangement is caused by diseases of the genera- 
tiye organs. It is chiefly on the youth of both sexes 



OIJ^ANISM. 69 

that self-pollution commits most ravages . This is 
so much more to be deplored, as it thus strikes at 
the very r oot of society, and has a direct and imme- 
diate tendency to destroy it, by enerating and debili- 
tating, almost from their very cradle, those whom 
nature's God intended as the best adapted to preserve 
and adorn it. How many of the debilitated and ema- 
ciated objects daily present themselves to our view, 
with pallid and haggard countenances and sunken 
eyes, who are indebted solely to the abominable prac- 
tice of masturbation for this state of debility and ex- 
haustion? Disabled from rendering service either to 
themselves or friends, they drag on a life totally use- 
less to others and a burden to themselves, in the midst 
of society in which they are despised. A frequent 
cause of the practice of Onanism is igkokance of 
the enormity of the crime — a criipe of which an em- 
inent divine has written: — '*In itself it is monstrous 
and unnatural, — in its practice, filthy and odious to 
extremity, — its guilt is crying, and it consequence 
ruinous, — it destroys all conjugal affection, — prevents 
natural inclination, — and tends to extinguish the 
hopes of posterity." 

The most experienced medical practitioners are of 
the opinion that the development of the nervous sys- 
tem, and- the predominance of its action over parts of 
the organism, are also amongst the causes of mastur- 
bation. We comparatively seldom see this habit in- 
dulged in by robust and vigorous persons, whose 
muscular and digestive organs are in full develop- 
ment; they are generally more disposed to exercise 



70 ONANISM. 

their limbs, as well as their appetite for the pleas- 
ures of the table, in which their minds are too much 
engaged to allow them to addict themselves to indul- 
£:ence in other gratifications, This excessive develop- 
ment of nervous sensibility, which is the source of 
so many praiseworthy actions, as well as of so many 
vicious enormities, and which, according to the direc- 
tion it receives, gives rise to the most splendid or to 
the basest of results, may be derived either from 
natural disposition or from early education. It is 
immediately after early infancy, at that epoch when 
the facilities of the new being commence to be devel- 
oped with energy, that he runs the greatest danger. 
If then an unfortunate accident, or, as too frequent- 
ly happens, the indelicate touches of strange hands, 
disclose to the young subject what may at this time 
be considered a new sense, there takes place at this 
period toward the genital organs a greater or less con- 
centration of the vital forces, and the patient, led on 
by the delusive pleasure, gives himself up with a fury 
to a vice which is soon sure to destroy him, or draw 
down on him evils more terrible than death itself. 
Another most dangerous period of life is the approach 
of puberty, which varies in this climate from the age 
of eighteen to twenty-two. The rapid growth of the 
generative organs, — the increased power and ' fre- 
quency of erection, — the rapid secretion of semen, — 
all lead to the performance of that act which is sure 
to occasion the deepest remorse. It is the attentive 
consideration of these varied facts which explains to 
us how the habitual exercise of the genital organs. 



ONANISM, 71 

either by coition or masturbation, may so far get the 
better of the will of the individual as to force him to 
indulge in practices the object of which is to gratify 
the Yenereal stimulus . In almost all such cases the 
shameful act, when finished, is invariably followed 
by bitter regret, but as the organs obtain repose, the 
resolutions which he had adopted of relinquishing 
the baneful practice, and which he had thought noth- 
ing could shake, are soon forgotten. We have fre- 
quently heard patients exclaim, '^Oh! how often and 
often have I solemnly sworn never again to pollute 
myself; and how often have I promised myself, when 
in tha act, that it should be for the last time." 

If we compare the injurious effects of excessive in- 
dulgence in coition and those of masturbation, we 
shall find that the causes which combine to render 
excess in the former dangerous, act with much more 
energy in the second, and that several circumstances 
peculiar to the latter render the results of its fre- 
quent repetititon more serious. It is well known 
that the man who addicts himself to the solitarv 
and debasing practice of Onanism is kept for a con- 
siderable time in a state of general and permanent 
rigidity of the entire body; this state of tension is 
sometimes carried so for that very painful cramps 
are caused by it, and the fatigue which results oblig. 
es the patient to relax his efforts occasionally to take 
rest, It is sufficient to observe the circumstances 
which accompany masturbation to see that the ner- 
vous system must be directly affected by it, not only 
from the violent and continued contractions which it 



72 ONANISM, 

occasions throughout the entire muscular system, 
but also by the prodigious tension of the imagination, 
which is in cases wound up to its highest state, in 
order to represent to the devoted votaries of self -pol- 
lution the fantastical object of their disgusting trans- 
ports. Another cause which renders Onanism more 
dangerous than excessive indulgence in coition, 
arises from the circumstance that it is much easier 
to addict one's self to the one than abuse the other; 
for when a man gives himself up to the natural pleas- 
ures of love, the fatigue felt, as well by his compan- 
ions as by himself, will have the effect of preventing 
his exhaustion; whilst on the other hand there is no 
there is no bridle, no restraint on him who practices 
self -abuse; the former is generally obliged to wait 
for a favorable moment and opportunity to indulge 
in his excess, — every moment answers the purpose 
of the latter, — all he requires is mere solitude. He 
constantly carries about him the sting which tor- 
ments him; he alternately finds his imagination ex- 
citing his organs, and his organs, inflaming his 
imagination. In short, there is nothing to distract 
nor take up the attention of one who has addicted 
himself to Onanism, whilst a thousand circumstances 
are constantly distracting the attention of the man 
who is disposed for the enjoyment of, a female. 
Another serious danger in this vice is the period of 
life when men addict themselves to it; we have occa- 
sionally met with it in quite young children, most 
frequently amongst full-grown boys and young men, 
for the various difficulties and impediments which 



ONANISM. 73 

preTeut copulation before a certain age, do not exist 
m the case of Onanism; — thus the generative propen- 
sity, called forth prematurely, and gratified viciously, 
steps in amidst all the natural efforts of growth, with 
its unnatural train of moral excitations, sensual shocks 
and physical pollutions. No wouder that the Father 
of Medicine should notice its effect; jEtius gives the 
following description: — Young people have the air 
and appearance of old age; they become pale, effem- 
inate, lazy, benumbed, stupid, and imbecile; they 
have a total distaste for everything, are totally inca- 
pacitated, and may even become paralytic." In short, 
when we look upon the horrible consequences result- 
ing from this practice, are we not justified in regard- 
ing it as a lingering, moral and physical suicide? 

As we have intimated, the practice of Onanism, 
when once indulged in, is diflficult to abandon; the 
patient is perhaps for years unconscious of any change 
and no one part of the body feels weakened more 
than another; but there gradually comes over all a 
creeping languor, a want of energy, asensation of lassi- 
itude, a depression of spirits, ennui, and a disinclin- 
ation for society; these feelings at length increase so 
as to attract the attention of the patient and his 
friends. He and they are sensible that he is not what 
he formerly was; his face becomes pallid, the circles 
around his eyes depressed and darkened, a thinness 
is visible in his looks, his hands are frequently cold 
and clammy,* he cannot bear the cold he was wont to 
do, his old pursuits have no attractions for him, nor 
do any new ones attract his attention; his memory 



74 OKAi^ISM. 

becomes imperfect, his yision not so clear nor his sight 
so strong as formerly, morbid sensations annoy him; at 
length he sinks into fatuity, and either is carried off 
by some rapid decline, or hastens his end by laying yio- 
lent hands on himself. Such is the history of many 
cases of suicide of which we read in the newspapers. 

Thanks to the exertions of Medical Science, aided 
by the researches of many skillful physicians, who 
have devoted their liyes to the inyestigation of these 
diseases. Thanks to the important discoveries in 
chemistry, and to the light thrown on the cause of 
disease by the use of the microcope, we have not of- 
ten presented to us cases so desperate as the above. 

It is difficult to depict a more truly miserable being 
than the slave to licentiouness . His imagination 
burning with filthy, unnatural glow; his bodily or- 
gans taxed to the utmost, weary and jaded, refuse to 
obey the stimulus of that never slumbering depravity 
which goads his fancy in the darkness of night, in the 
dreams of his broken rest, and in the worse than 
dreamy abstractions of the cheerless day; he is tor- 
mented with desires he can never gratify, shut out 
from those enjoyments accorded only to virtuous 
moderation; the blossoms or youth [perhaps the 
flower of manhood], the supremacy of mind, all de- 
graded, obliterated, gone! Let not the intensely pru- 
rient, yet seeming modest victim of self-pollution, 
lay the flattering unction to his soul, that from the 
eye of his fellow mortals he can concealthis unmanly 
practices. It is written upon his forehead; the phys- 
iognomy, that faithful mirror of the soul and body, 



OKAKISM. 75 

gives clear indication of the internal disorder. The 
complexion and plumpness which jointly confer a 
youthful look^ and which is the sole substitute for 
beauty, — for without this eyen beauty produces no 
other effect than cold admiration, — this complexion 
and jolumpness are the things that first disappear, 
a leanness succeeds; the skin becomes rough, often 
of leaden tinge; the eyes lose their brilliancy, and 
by their languor express that of the whole frame; 
the lips lose their yermillion hue, the teeth their 
whiteness, the hair falls off, and it is no uncommon 
thing for the whole body to become bent and distort- 
ed. Abashed, the sufferer shrinks from the gaze of 
his fellow-man, fancying suspicion in the eye of ev- 
ery one who looks upon Ms sunTceUy haggard, pale, 
unmeaning, inexpressive face; his dull lack-lustre eye; 
his thin and tremulous form — which all hetray him to 
the practiced observer. For Self-pollution en- 
tails UPON ITS VICTIMS MARKS AS LEGIBLE TO THE 
EYE THAT CAN UNDERSTAND THEM, AS THE SCARS 

OF SMALL- pox; and thus proves a striking fulfilment 
of the prophetic warning, — ^ 'There is nothing done 
in secret that shall not be revealed," nor hidden, 
even from the recognition of mortals, that shall not 
ultimately be made, even to them, evident as noon- 
day. Shall we not therefore raise our testimony 
against these vices? Sir Astley Cooper justly re- 
marks, in one of his lectures, — ''If one of these mis- 
erable cases could be depicted from the pulpit as an 
illustration of the bad effects of a vicious and intem- 
perate course of life, it would, I think, strike the 



76 ONAN-ISM, 

mind with more terror than all the preach- 
ing in the world. The irritable state of the 
patient leads to the destruction of life, and in this 
way annually great numbers perish. Undoubtedly 
the list is considerably augmented by maltreatment, 
and the employment of injudicious remedies." And 
the late learned Dr, Pereira, whose abilities as a 
practical physician were only equalled by his acquired 
learning and innate knowledge of human nature, ob- 
seryes, in reyiewing ''Neeyous Exhaustioit," — 
There is a yast deal of injury done, not merely to 
public morals, but to the indiyidual health, by the 
abuses and excesses of the reproductiye functions; the 
prim itiye fathers and physicians haye duly noticed the 
eyils to which I allude, and eyery experienced medical 
practitioner can attest their frequent occurrences. It 
is all yery well for sentimentalists and the mock- 
modest to declaim about the notice of them; but jus- 
tice, morality, and the preseryation of health, as 
well as the perpetuation of the human race, demand 
it. Such, howeyer, is the hypocrisy of the day, that 
even a notice in a dead language is abused and con- 
demned by the ignorant and intolerant, who are un- 
able to appreciate the importance of the subject. 
This is a bold step in the right direction." 

Nor are the eyils of self -pollution confined to the 
male sex only. That it rages with deadly yirulence 
amongst young women, especially amongst young 
ladies in the higher circles of society, is a matter of 
notoriety. Dr. Fowler writes, "That women, young, 
and apparen-^ly modest, are dying by thousands of 



ONANISM. 77 

consumption, of female complaints, of nervous or 
spinal complaints, of general debility, and of other 
ostensible complaints innumerable, and some of in- 
sanity, caused solely by this practice," 

The effect of self-pollution in the male is similar 
in the female; the results common to both are impo- 
tency in the one and sterility or barrenness in the 
other. We observe amongst them much tendency to 
hysterical complaints. Consumption numbers among 
its victims young and fair, who have first brought on 
its seed by self-abuse. The glairy discharge, so com- 
mon and so weakening, and which is generally termed 
the *'W7iites,'' is another frequent result of this error. 
We do not mean to assert that in every instance this 
discharge is thus caused. I have known many in- 
stances where it has been caused by excessive in- 
tercourse with the husband; but when it occurs 
amongst unmarried women of a certain age, self-pol- 
lution, though not the invariable cause, is one of the 
most prominent predisposing. But enough on this 
very painful subject — we probe the wound deeply 
that we may sooner heal it. Should this fall into the 
hands of one who has sinned, let her remember that 
science and skill may do much to restore her to 
health and happmess,— let her repent, and pray that 
**she sin no more." 

Man/ individuals scarcely turned forty years of 
age, and sometimes even earlier, who have lived 
rather freely, are not unfrequently about that period 
of life greatly changed in tlieir powers of sexual in- 
tercourse. They may, indeed, in general health and 



78 OXAXISM, 

personal appearance, be stout, and for several years 
not Terv sensible of tbe degeneration of their powers. 
but the freqaencv of their inclination for such du- 
ties gradually becomes much diminished, andthat is a 
symptom which is at all times indicative of apj^roach- 
ing impotence; for the inclination, gradually and en- 
tirely ceasing, the power speedily follows, or rather 
both are lost together. 

Many who have unwarily acquired the habit of 
self-pollution, have been convinced, by reading this 
treatise, of its iniquity and injurious consequences to 
health, and have determined to give it up, thinking- 
that by so doing they may recover their pristine 
health and vigor. In this, however they are deceiv- 
ed. A new and unnatural association having been 
established between the organs of generation and the 
mind, the bad consequences of the practice do not 
cease when the habit is left off . Involuntary dis- 
charges of semen take place during sleep, occasion^ 
ally occurring as frequently as two or three .times in 
the course of one night. The effect of these emis" 
sions is extremely debilitating; all the symptoms al- 
ready described are aggravated and the mind sinks 
into'a state of the deepest dejection. Here there is 
no time to lose; they should immediately apply for 
the necessary medicines, and the practice being dis- 
continued [certainly a main point in the case] they 
may confidently anticipate the speedy renovation of 
their constitution. I therefore recommend an early ap- 
plication for advice and assistance, which in every case 
will be given with kind consideration and undeviat- 
ing attention that will give confidence to the timid 
and restore vigor to the debilitated. 



NOCTURNAL EMISSIOiTS. 79 



Of Nocturnal Emissions, Senninal 

Weakness, Impotency, Nervous 

Debility. 

The secretory glands of the human body form an 
apparatus, the action of which is unvarying and con- 
stant. The liyer is perpetually employed in the 
formation of bile; the kidneys, in the 
separation of urine from the blood. In fact all the 
secretions are derivable from the living and vitalizing 
fluid. The gall-bladder is provided as the temporary 
receptacle for the bilious, soapy fluid secreted by 
the liver; and as the wants of the system require, it 
is poured into the first intestine to assist in the sep- 
aration of the nutritive portion of the partially di- 
gested aliment. Precisely analogous is the action of 
the testicles, pouring their appropriate secretion into 
the receptacles denominated the ^'vesiculce seminales," 
or seed-lladders, not to be absorbed again into the 
system, but rather to be excreted as indispensable to 
the reproductive act. Hence the stimulus arising 
from distention of these vessels becomes a pleasura- 
ble impulse of the necessary multiplication of the 
species; and if sexual desire were susceptible of grat- 
ification only as the result of instinct; if depraved 
man, instead of lashing his genital organs to exertion 
by filthy conversation, lewd and impure imaginations, 



80 NOCTUEKAL EMISSIONS. 

and the various causes which are entirely absent 
among the brute creation; if, like them, he were 
content to follow the dictates of his unerring organi- 
zation, diseases arising from excess would be unknown, 
equally among us as with them; and their proverbial, 
and almost certain fecundity be but the transcript of 
our own. xis the seminal vessels [like the gall- 
bladder] will not allow of extraordinary distention, 
the thinner portions of the semen become partially 
absorbed; and though thereby the bulk of that se- 
cretion be lessened, yet the residum becoming more 
acrid and stimulating, the impulse to excretion is 
thus rendered unconquerable; and so nature, in the 
absence of the act to which the stimulating impulse 
tends, occasionally relieves herself of the superabund- 
ant secretion. Of this act, men are mostly uncon- 
scious; if, however, it arrests attention, \i^ frequency 
and its consequences are the circumstances that rouse 
the proper and natural fears of the sufferer. 

A popular author on this, subject observed, — '^2'he 
causes of these nightly or 'wet dreams,^ as they are 
called, are numerous. In the first place, the testicles 
must have acquired, through the practice of Onan- 
ism — for involuntary emissions rarely assume the 
formidable character here depicted, except induced 
by masturbation — a morbid sensitiveness, that, on 
the slightest local or neighboring irritation, they put 
in action their secretive powers. In fact, the infirm' 
ity might not inaptly le termed a consumption of those 
glands. Consequently, the cause may be, at this 
period, piles or hoemorrhoids, constipation, indiges- 



NOCTURNAL EMISSIONS. 81 

tion, irritability of the bladder or kidneys, etc., etc; 
for they all, more or less, are present, and, perhaps, 
severally aggravated by stimuli, of one kind or other, 
taken during the day or previously to rest. Another 
occasion may be the loss of tone of the absorbents, 
and also loss of sensibility of the passages through 
which the discharge escapes; thereby acting as somno- 
lent sentinels only to the brain, whereby even the little 
control the will might possess is lost." So by this we 
perceive that this infirmity is not merely local debil- 
ity of the generative apparatus, but that many other 
functions of life participate in it. The constant 
drain from the testicles impoverishes the whole sys- 
tem, and the same phenomena ensue as when Onan- 
ism is practiced to the same extent. The semen of 
a person tormented with this infirmity is thin, wat- 
ery, sickly odored, and rarely prolific. Although I 
have already depicted the consequences of unnatural 
indulgenc'e in the previous pages, the following pas- 
sage from a more able pen than my own, exhibits so 
well the desolating effects alluded to, that its tran- 
script is too useful to my purpose to neglect: — " The 
muscles of the youth become soft; he is idle; his 
body becomes bent; his gait is sluggish, and he is 
scarcely able to support himself. The digestion be- 
comes enfeebled, the breath fetid; the intestines in- 
active, the excrements hard ened in the rectum, and 
producing additional irritation of the seminal condu- 
its in its vicinity. The circulation being no longer 
free, the youth sighs often, the complexion is livid, 
and the skin, on the forehead especially, is studded 



82 NOCTUBNAL EMISSIONS. 

with pimples. The corners of the mouth are length- 
ened, the nose becomes sharp; the sunken eyes de- 
prived of brilliancy, and enclosed in blue circles, arq 
cast down; no look of gayety remains, — the very aS' 
spect is criminal. General sensibility becomes ex. 
cessive, producing tears without a cause; perception 
is weakened and memory almost destroyed; distrac^ 
tion or absence of mind, renders the judgment unfit 
for any operation. The imagination gives birth only 
to fantastics and fears without ground; the slightest 
allusion to the denominating passion produces a 
motion of the muscles of the face, the flush of shame 
or a state of despair. The wretched being finishes 
by shunning the face of man and dreading the obser- 
vation of women. His character is entirely corrupt- 
ed, or his mind is totally stupified. Involuntary 
loss of the reproductive liquid takes jolace during the 
night, and also during the daily motions; and there 
ensues a total exhaustion, bringing on heaviness of 
the head, singing in the ears, and frequent faintings, 
together with pains, convulsive trembling and partial 
paralysis." 

The reproductive power may not le entirely destroy- 
ed ly that state of generative deUlity which is engen- 
dered ty nocturnal emissions^ and yet very painful 
consequences of another character may unquestionably 
arise. A healthy female may become pregnant, from the 
feeble yet exhausting effort of a man whose constitu- 
tional power is seriously broken, yet it would be un- 
fair, unphilosophical, unsupported by any analogy 
drawn from the history of the lower animals, to ex- 



NOCTURIA" AL EMISSIONS. 83 

pect that this circumstance would not tell most pow- 
erfully and detrimentally upon the offspring. The 
opinions of the learned, in all ages, have not varied 
widely on this subject. Lucretius, and a great num- 
ber of ancient physiologists, admitted this doctrine. 
That a great many considered that there was a mix- 
ture of fluids, and that these, united in the sexual 
organs of the female, were animated, developed, and 
changed into a being resembling those who furnish- 
ed them. Further, that the the most vigorous of the 
two determined the sex-, and if this principle be ad- 
mitted, it is easy to trace every puny or diseased pe- 
culiarity the father or mother may transmit. It ap- 
pears to be the general opinion that whichever parent 
furnishes the most elaborate, the most abundant 
seminal fluid, would impress the lineaments and form 
upon the offspring; that the most vigorous parent 
would possess the most genital power, would deter- 
mine the sex and physicial character of the infant; 
and consequently that the offspring would most 
certainly resemble this parent, both in mind and 
body. If genital power be equal, the child may be 
expected to resemble both. But this can scarcely 
be expected, where there is debility of the genera- 
tive organs in either parent, and the elaboration of 
imperfect fluids, from their too frequent escape. 

OF SEMIN"AL WEAKN^ESS. 

The prominent character of Seminal Weakness is 
general, not partial, debility. The seminal vessels 
are fitted to perform certain functions with progress- 
ive regularity, which, if undisturbed by disease, or 



84 SEHIK'AL WEAKJ^ESS. 

■unimpaired by yicious perversion of the natural 
sexual habit, they will continue to execute through 
the whole range of active manhood. Sexual ability 
in man is a mysteriously compound power, requir- 
ing a perfect association in the action of the secre- 
tory organ of the seminal secretion, and the instru- 
ment of its ejaculation and discharge. Any f uijc- 
tional irregularity, or want of correspondency be- 
tween the action of the testicles and the penis, is 
therefore an unquestionable state of disease; for 
since both are so closely and intimately dependent 
on each other, the least want of exactness in their 
adaption might be the cause of Impotence. Whatever 
be the mode in which this deviation from the healthy 
and natural action of the parts is first induced, it is" 
not difficult to trace its inevitable effect in the pro- 
duction of SeminoWeUUty^ and the ultimate destruc- 
tion of sexual power. Irritation, however engender- 
ed, rapidly propagates itself along the urethra; and 
chronic inflammation of the prostatic and most sen- 
sitive portion of that canal is rapidly established, and 
the muscles surrounding the membraneous division 
of the urinary passage are sympathetically affected^ 
with irregular spasm. The irritation extends itself 
by continuity of surface to the seminal vesicles, and 
even to the testicles, producing in the former unnat- 
ural evacuations,and in the latter an exaggerated thin 
secretion, too rapidly elaborated, and therefore, for 
all the purposes of generation, worthless. 
Among individuals so affected, on attempting inter- 
course with the sex, the emission is too quickly dis- 



SEMINAL WEAK3S-ESS. 85 

charged, nocturnal pollutions are frequent — indeed 
these are often the immediate precursors of seminal 
weakness — or the semen is expelled during the evacu- 
ation of the Madder and bowels. With some, there 
is more or less complete extinction of the venereal 
desire, the erections become few and feeble, incom- 
plete, or absolutely impossible. This condition of 
the sexual organs has its appropriate general charac- 
ter, analogous to those which are attributable to the 
wilful and determinate pollutions of earlier youth; 
the sufferer, now perhaps too late, sensibly aliye to 
the origin of his weakness, becomes timid, fearful, 
careless of the world around him, his mind absorbed 
in the consideration of his malady, until the contin- 
ual presence and the recurrence of the same train of 
painful thought involve him in the worst form of 
monomania, or rather the premature childishness of 
old age. All the functions of the body languish and 
are deranged, until a complete and general d egrada- 
tion sweeps with uncontrolled dominion over every 
power and faculty both of body and soul. 2'he semi- 
nal fluid may drihile away without pleasure, without 
erections, without the natural ejaculations, and its 
loss, when occurring in this manner, gives ris^ to 
the same or infinitely greater evils than those which 
occur from mere sexual excess, or what is worse, from 
self-pollution. 

The term Impotence is applied as relative to that 
inability or incapacity to the performance of the 
sexual act, which may arise from a variety of causes, 
but from none so frequently as the excesses of Sen- 



&<) SEMINAL WEAKNESS. 

sualism, more especially the secret, vicious, and soli- 
tary indulgence of self -pollution . It is important, 
in a practical point of view, that we do not confound 
this condition of the generative system with Steril- 
ity, inasmuch as a male who is sterile, or a barren 
female, may possess a perfect aptitude for coition, 
though for all the purposes of procreation absolutely 
incapable. In Impotence there is a temporary or 
permanent destruction of those powers which are 
absolutely essential for generative purposes. Sterility 
may therefore be defined as mability to propagate the 
species, though not affect the sexual congress; while 
Impotency in either sex, whether natural or acquired, 
whether as the result of disease or malformation, 
entirely ^precludes its performance. Impotence, re- 
sulting from physical imperfection of the sexual 
organs, is mostly incurable; but when originating 
in such disorders of the urinary or genital apparatus 
as are tracable to irritation or inflammation of those 
structures, or to conditions however produced,thence 
resulting, such as thickening of the bladder, enlarge- 
ment of the prostate glands, or testicles, wasting of 
the penis, especially long-continued gleets and stric- 
tures, our first efforts are naturally directed to the 
removal of thosQ proximate causes of Impotence; and 
if the habit be still indulged, the baneful ultimate, 
or primary cause of so severe a deprivation. If, 
under those circumstances. Nature do not readily 
reassume her wonted functions, if there be remain- 
ing debility, it is necessary to inyigorate the frame 
by the employment, not merely of those diffusible 



SEMINAL WEAKNESS. 87 

stimuli which act generally upon the whole system, 
but by the administrb,tion of those remedies which 
are known to act immediately upon the generative 
organs. If there be present excessive irritablity, it is 
necessary to employ such remedies as tend to diminish 
irritation in the morbidly sensitive organs. 

Impotence in the male may arise from a wide 
diversity of conditions. Incapacity of erection, gen- 
erally referable to self -pollution; Impotence, arising 
from a want of power of retention in the seminal 
vessels, induced by morbid susceptibility of those 
vessels, and brought about in like manner by a per- 
sistence in the same vicious practice; Impotence, 
from inability of retention resulting from repletion 
of these vessels, all demand a variety of treatment 
peculiar to the precise condition of the parts. Im- 
potence from mental influence has also its appropri- 
ate management. Exclusive of this, the generative 
infirmity under consideration, though occasionally 
arising from simple disease, is ascribable in by far 
the greater majority of instances to the excesses of 
Sensualism, either with women, or, more commonly 
still, from that vile excess to which such frequent 
allusion has been made in these pages. Long-pro- 
tracted chastity or continence is not to be overlook- 
ed as a cause of impotence; the very reverse of the 
degrading habit of self-pollution, it is not only com- 
paratively rare, but offers in its very nature the 
indications of a cure. But that long-continued de- 
bauchery, whether with women or by masturbation, 
is to be assigned as the most common and prominent 



88 SEMINAL WEAKNESS. 

of the causes of Impotence, is a fact admitted by all 
systematic writers, and amply and painfully confirm- 
ed by my own experience. Mons. Pinel observes, — 
*'The impotence caused by the latter excess reduces 
youth to the nullity of old age, and is too often 
incurable." Fortunately, the records of a numerous 
list of cases prove that recovery of the powers of 
manhood is not [under judicious management] so 
altogether hopeless, as might seem to be. the fact, 
trusting only to the observation of those medical men 
who have made these subjects their peculiar and ex- 
clusive study. 

Impotence is often caused by debility of the geni- 
tal organs, induced by precocious venereal enjoyments 
or by the unrestrained abuse of the delicate struc- 
tures in any method that tends to produce repeated 
and severe evacuations of the seminal fluid. If Im- 
potence result from self -pollution, there is a want of 
erection, and should a seminal emission take place, 
the semen does not possess its prolific power, and 
thus the man is at once Impotent and Sterile, 
This form of impotence is truly deplorable, and un- 
fortunately it is the most prevalent variety; neverthe- 
less, the author has cured many persons laboring 
under this distressing complication, although several 
involuntary diurnal as well as nocturnal emissions 
have regularly occured without amorous impulse. Next 
to Self -pollution, excessive venery is a frequent 
cause of impotence, as well as of sterility among the 
male sex. This is a frequent cause of want of off- 
spring in young unmarried persons, In these cases. 



SEMINAL WEAKNESS. 89 

the semen may escape without the aid of the ejacula- 
tory muscles, is imperfect in quality, devoid of power 
until the health be improved, or, if impregnation 
ensue, the child undoubtedly partakes of the debility 
of the parent, soon to be consigned to a premature 
grave, the victim of that nameless atrophy or wasting 
decay which hurries thousands of infants 
annually to the tomb. In these cases the male pa- 
rent generally suffers from inflammation of the semi- 
nal vesicles, or there is a seminal weakness, with 
more or less involutary discharge. 

The surest means by which sound and vigorous 
children may be engendered is a good constitution, 
unenfeebled by excessive waste of those powers 
which in their assemblage constitute the manifesta- 
tion of the living principle. It is admitted, not 
merely by philosophic writers who have speculated 
deeply upon the subject, but by all who have paid 
the least attention to the facts connected with such 
a statement, that not merely the physicial but the 
moral dispositions of the parents are transmitted by 
generation; hence, if a sound mind in a sound body 
be the first, greatest, and most lasting blessing, and 
its deprivation or absence the greatest possible curse, 
how imperatively necessary is the obligation to calcu- 
late closely the tendency of vicious indulgences, to 
avoid the contamination of depraved habits, and to 
correct and elude the consequences of that debility 
already imposed upon the generative organs by sensual 
excess! Impotence and Sterility are usually the re- 
sults of wilful imprudence. Malformation is a 



90 SEMINAL WEAKIS'ESS. 

direct interposition of creative wisdom; its occurt 
rence is comparatively rare; but failing power is no- 
only exceedingly common, but generally constitutes 
a self-inflicted evil. Diseased and delicate parents 
procreate diseased and weakly offspring . The same 
results are observed in plants and animals. Can it 
be supposed that the physical powers, the sympathies, 
of a beautiful woman of an excellent constitution are 
in unison with those of a man whose best energies 
were long ago expended in the premature and illicit 
excesses of lawless excitement, whose youth has been 
a hurried history of wild enjoyment, whose passions 
have been lashed past the natural powers of bodily 
organization, and who now brings his decrepit efforts 
as a worthless offering at the shrine of matrimonial 
sanctity? Or worse still — is there a mockery more 
deep, more bitter, than that desolation of spirit 
which an affectionate woman must feel on finding 
when she clasps, entwined within her circling em- 
brace, the mere wreck of Sensualism, the horrible 
victim of self -pollution; the creature, who, having 
trained his imagination and bodily powers to mere 
fancied enjoyments, is now deprived almost, if not 
entirely, of the capability of resuming the actions 
for which his generative organs were destined? 
Woman's scorn must be the more intense, because 
from the very nature of her own position she is pre- 
cluded from giving vent to her feelings of anger and 
vexation. Love cannot be reciprocal in such cases; 
animal or organic impulse will prefer that which is 
more accordant with itself, even beasts prefer males 



SEMINAL WEAKNESI. 91 

which are possessed of vigor, power, and beauty, and 
this instinct is implanted by Nature in all animals. 
Whatever perversion civilization may effect in our 
feelings and manners, it cannot extinguish this in- 
stinct. And this is an eminently wise ordination, as 
tending to the perpetuity of a healthy race of human 
beings. 

If Sensualism has impaired the powers, not of 
both parents, but of one only, the punishment of the 
offence is either Sterility or deUlity\ or pain, dis- 
ease, and death transmitted to the children and re- 
flected back with sorrow upon the parents. Impo- 
tence, then, is the last crowning scourge of sexual 
imperfection, and demands for its removal the most 
cautious application of the resources of the healing 
art. The treatment of the chronic diseases of the 
generative system has been strangely neglected and 
signally misunderstood. The efficacy of well direct- 
ed efforts has been much distrusted in this matter, 
and it is remarkable that both the patient and 
practitioner contribute to these impediments; for as 
the latter has been accustomed to see his remedies 
speedy in their effects, he is himself discouraged if 
they do not immediately produce the desired benefit. 
"NTor is it any wonder that the patient becomes incred- 
ulous of the promised relief, neither of them recol- 
lecting that the morbid states have been slowly pro- 
duced, and cannot therefore be speedily changed. 

Self -pollution, the frequent cause of sexual Impo- 
tence and sterility, is generally the habit of the best 
years of youthful life; and its deadening impress 



$2 SEMIKAL WEAKls'ESS. 

often tells with deplorable certainty, long after the 
baneful practice has been relinquished. Time must 
therefore be afforded for the rectification of that 
artificial state into which the powers of the system 
have been wantonly plunged. It is evidently the ab- 
sence of fixed principles, in our pathology of the 
generative system, that has given such unbridled 
license to quackery. There has always existed a 
vagueness of opinion respecting their nature, and an 
unsettled doctrine as to the most rational methods to 
be adopted for their mitigation and cure. The commu- 
nication of disordered action is an inevitable result of 
indulgence in any mode of Sensualism, either excess- 
ive, or contrary to the order of nature and the con- 
stitution of our being; and the nature of that per- 
verted action may be readily anticipated. In fact we 
see it exemplified in excessive irritability of the blad- 
der and seminal vesicles, producing incapability for 
retention, disease of the spinal marrow and brain, 
spasm of the urethra, and stricture, and effeminate 
flaccidity of the penis, testicles and scrotum. Can it 
be expected that these organs should be capable under 
such ^circumstances of fulfilling their approjDriate 
office in the task of procreation? Most assuredly 
not. Where Impotence is consequent upon that 
baneful propensity, which cannot be sufficiently stig- 
matized, its extent of severity is far greater than 
when produced by excessive indulgence with women, 
because the vital fluid that could have improved the 
stamina of the system has been lost without satisfac- 
tion; consequently no gratification of the mind has 



SEMINAL WEAKNESS, 93 

been had in counterpoise to compensate, and in some 
measure to repair, the expenditure of power. » 

The man who, from his anxiety to indulge to the 
utmost his libidenous propensities seeks for variety 
among women, may certainly find in such variety a 
a new stimulus efficient for the occasion, and may be 
able to accomplish more frequent repetitions of the 
sexual act than the sober married man who is faithful 
to one; but we cannot overlook the fact that this is 
undoubtedly accomplished at the expense of a cor- 
responding amount of unnaturally excited energy, 
and the ultimate results of such efforts tell with 
fearful and tremendous horrors upon the helpless 
and debilitated votary of greedy pleasure. The night- 
y partner of a husband's bed silently offers only that 
gratification which is demanded by the sexual organs, 
when fully charged with seminal fluid and impatient 
for relief; to such a man, the stimulus of variety is 
unsought, contemned, forbidden, as contrary not 
merely to all laws, human and divine, but as directly 
opposed to his well-being, to the maintenance of his 
animal organization in health, strength, and useful- 
ness. Here, then, the natural laws of his physicial 
constitution harmonize most admirably with the 
higher sanctions of morality. The actual amount 
of enjoyment realized by the temperate is, in the 
long run, far greater; power is maintained until old 
age, and a vigorous offspring is engendered; while 
the hasty, violent, and forced gratification of the 
Sensualist, though vivid for a moment, are succeeded 
by that worst form of helplessness — insatiable desire, 



94 SEMINAL WEAKNESS. 

appended to diseased and powerless organs. The 
draining of the seminal fluid which occurs either 
from excessive indulgence in venereal gratifications, 
or from solitary vice, is not equally great in every 
instance. There are some individuals who are not 
rendered absolutely, but only partially impotent 
They can accomplish the sexual acts occasionally, 
and with severe effort, to the disgust, doubtless, of 
the female, or they are tolerably able, yet unprolific^ 
Their powers are weakened, not altogether destroyed. 
TJiese patients have resources left in surgical skill. 

If these things be so [and who will dare to contra- 
vene their truth, founded as it is on ordinary every- 
day observation of mankind?] it follows that there 
are, and may be, varieties of Seminal Weakness, orig- 
inating most commonly in Nocturnal Emissions, and 
these, dependent in many instances, but not invari- 
ably so, on the unnatural practice of Self-Pollution, 
to which such ample reference has been made in the 
foregoing pages. That these emissions lead to the 
most deplorable consequences, independent of the 
injury done to the generative function, is indisputa- 
ble. The most studious people, and those of a sple- 
netic cast, are subject to this infirmity, and the dis- 
charge of semen is commonly so considerable, that 
they fall into a slow wasting consumption, A Roman 
physician [whose opinion is supported by John of 
Acarius, author of a work composed for the Emper- 
or] observes; *'If nocturnal emissions continue any 
time, the necessary consequences are consumption 
and death; for the most balsamic part of the humor 



EFFECTS OF SELF- ABUSE. 95 

and animal spirit is dissipated; the whole body falls 
away, and particularly the back; the patients become 
feeble, dry and pale; they languish in slow melan- 
choly agony." Let this antiquated, yet terrifically 
correct portraiture, deter the thoughtless from prac- 
tices which lead to such a state; and those in whom 
it is commencing, let not incipient evil be deemed 
unworthy of their most serious consideration. 




The Moral and Physical Effects of 

Self-Abuse, Spermatorrhoea 

and Impotence. 



All the faculties are weakened by indulgence in 
this yice. The sense of hearing loses its acuteness, 
and much annoyance is caused by noise and singing 
in the ears; sometimes even deafness results The 
eyes lose their brilliancy, and appear dull; the pupils 
are more or less dilated. According to Richter — one 
of the most eminent of surgical authorities — '' No 
general weakening causes operate on the eyes and 
occasion total blindness so powerfully and so often 



96 EFFECTS OF SELF-ABUSE. 

as premature and excessive indulgences in Teneral 
pleasures." Another of the evils resulting from self- 
pollution is failure in the power of the mind, especially 
the memory. In short, it may be stated with the 
utmost confidence that there is not an intelligent 
faculty with which the beneficent Creator has blessed 
us, that is not liable to be impaired by these causes. 
It is a curious fact that the habit of self -pollution is 
invariably followed by a diminution in the size of the 
penis. The organ shrinks to one-half its former out- 
line, or in those who have practiced it in youth, 
does not attain to full growth . The power of perfect 
erection is altogether destroyed; when coition is 
attempted, the requisite solidity is not maintained,or 
if an entrance into the vagina be partially effected, it 
is followed by a premature emission. Let not the 
victim of secret vice flatter himself his unmanly act 
escapes detection. Dr. Armstrong observes, — '* I 
think I should know a person in the streets who has 
addicted himself to this vice, by merely walking be- 
hind him, from his peculiar gait." 

From the commencement of the unfortunate habit 
of self-pollution, which is invariable the cause of 
seminal weakness, there is frequently a loss of desire 
for sexual intercourse; or where the desire is felt, a 
repetition of the unmanly habit is preferred to coition 
in a natural way. This when persisted in, causes the 
face to become pale, bloated, and cadaverous, the 
body feeble and emaciated, and an impeded circu- 
lation in the extremities. Then occur trembling 
hands, dim eyes, confused ringing in the ear, some- 



EFFECTS OF SELF-ABUSE, 97 

times deafness, accompanied with frequent and violent 
headache. A nervous dread and loss of energy are 
very common, and we have frequently heard patients 
confess that thej^ have walked their rooms for hours 
together, at night, fearing to go to bed. This is 
often experienced when the nocturnal seminal emis- 
sions are numerous. We may here observe that the 
practice of Onanism may sometimes be indulged in 
without apparent ill effects for a time. Some are 
affected in a month or two; some may escape for years; 
but none entirely escape, for it is impossible to violate 
any law of Nature and Nature's God, without evil 
consequences resulting. The practice of Onanism is 
a moral and physical crime, consequently the punish- 
ment is twofold. Thus, while the bodily vigor is lost, 
and senses lose their keenness, the mind also becomes 
affected, the memory fails, the judgment becomes 
affected, and the patient becomes unable for any ex- 
ertion, bodily or mental. Such is the history of 
many cases of suicide of which we read in the news- 
papers; cases mysterious, at first sight causeless, but 
understood by the educated physician, regarding them 
by the clear light of science. Tissot, the celebrated 
physician snd early writer on this subject, states the 
result of this practice to be. First: — Total derange- 
ment of the stomach, shown in loss or irregularity of 
appetite and indigestion. In some cases the appetite 
becomes almost vor^cious, Nature thus endeavoring 
to repair the loss inflicted upon her. Second: — 
Weakness of the respiratory organs, v/hence frequent- 
ly result dry coughs, almost always colds, weakness 



98 EFFECTS OF SELF-ABUSE, 

of the voice, and sense of suffocation on slight exer- 
tion. Third: — General relaxation of the nervous 
system, lassitude by day, painful dreams by night; 
the sleep is unrefreshing. Fourth: — Great debility 
of the organs of generation; almost all complaining 
of only imperfect erections ; desire no longer exists, 
and impotency results. Nocturnal emissions are a 
terrible scourge to these sufferers, and often over- 
whelm those even whose organs are absolutely sense- 
less when awake. When the patients have nocturnal 
pollutions, they find themselves next day in a state of 
depression, of discouragement, debility, ennui, and 
lassitude, with pains in the loins, head and eyes. Fifth : 
— Eruptions frequently appear on the face and fore- 
head; the features become changed from the rosy hue 
of health to a dull, heavy, and sallow complexion. 

We will conclude this part of the subject with a 
few words respecting Spermatorrhoea and Impotence. 
This term spermatorrhoea is derived from two Greek 
words, signifying a flowing of seed, and is applied to 
all cases in which an emission of the seed takes place, 
excepting from coition; in other words spermatorrhoea 
may be termed an involuntary loss of semen. The 
usual causes of this disease are self-iDollution, but it 
may also be the result of immoderate indulgence in 
coition, of ill-cured gleet, and frequently the disease 
of the prostate gland. Constipation of the bowels, 
and the irritation of the rectum caused by piles, may 
also predispose. But, after all, the influence of these 
causes is insignificant compared with that of self- 
abuse. The symptoms of spermatorrhoea may be di- 



EFFECTS OF SELF- ABUSE. 99 

Tided into local and constitutional. Tlie local 
symptoms are generally emissions of the seed at 
night; and we call the particular attention of our 
readers to this rule. Nocturnal emissions are decided 
signs of debility and symptoms of approaching im- 
potence. Let it be remembered that every drop that 
escapes is the habitation of living beings, a particle 
of a living seed, and that one drop under favorable 
circumstances, is sufficient to give life to a future be- 
ing With respect to diurnal emissions — which occur 
at stool, whilst making water, or which are evident 
in a continual moisture and humidity of the organs 
— they are a complicated character, and are in many 
instances undiscovered and unsuspected by the patient 
till disorder has assumed a most formidable character; 
for he is quite unconscious of any seminal loss. The 
nocturnal emissions sometimes leave him entirely,the 
drain by day being so excessive; but at last some for- 
midable symptoms force him to seek relief at the 
eleventh hour. During the progress of spermatorrhoea 
many patients suffer from a hard dry cough, a diffi- 
culty of breathing, pains in the chest, and hence are 
treated for consumption; for the constitutional symp- 
toms of spermatorrhoea are innumerable, when the 
cause of disease is unknown and unsuspected, the 
general practitioner will naturally attack the symp- 
toms. The appetite, at first, will frequently increase 
and become voracious — it is the effort Nature makes 
to support the failing strength. All the senses are 
more or less affected — the eye loses its brilliancy, 
there is always more or less dilation of the pupil, and 



100 EFFECTS OF SELF- ABUSE. 

the very look of the patient reveals his secret to 
the glance of experience. The penis and testicles be- 
come small and relaxed; and a high surgical author- 
ity observes, the infirmity may not inaptly be termed 
a consumption of these glands. And we cannot be 
astonished at the frightful effects caused by unnatu- 
ral emissions of seed, when we recollect that physi- 
cians of all ages are agreed that the loss of one ounce 
of semen by self-abuse, nocturnal emissions, or at 
stool, injures the system and weakens it more than 
the abstraction of twelve ounces of blood. In the 
early stages of seminal weakness, different persons 
are variously affected; some are incapable of procur- 
ing a discharge of semen into the cavity of the female 
genitals in a natural way, though they may effect 
temporary erection; while others cannot perform the 
act of copulation, from the emission taking place too 
quickly, and before the proper firmness of the male 
organ has enabled it to effect the requisite penetra- 
tion. To recapitulate briefly the result of our expe- 
rience: — Impotence, from long-continued sperma- 
torrhoea, is the inability to perform the venereal act. 
Those cases are most difficult to cure which have 
been caused by self-pollution; but science, combined 
with skill and experience, will almost effect miracles, 
and our treatment of these cases has been most 
successful. Imjootence is also caused by too free in- 
dulgence in sexual pleasures; these cases can be cured 
with comparative ease by rest and tonic medicines. 
Impotence is sometimes the result of moral causes — 
nervousness, too much respect, etc.; the treatment is 



EFFECTS OF SELF-ABUSE, 101 

obvious. Impotence, then, is chiefly caused by debil- 
ity of the genital organs; there is a want of erection, 
and if a seminal emission takes place, the semen does 
not possess its prolific power, and the man is at once 
impotent and sterile. Sterility, or barrenness, is 
sometimes s fault of the female organization, and is 
produced by various causes; amongst others which 
entail a loss of vital and productive energy, excessive 
indulgence is one of the most prominent. Excessive 
venery is a frequent cause of want of (offspring in 
young married people. In these cases the seed does 
not acquire sufficient vitality to stimulate the ovum 
in the womb; and even if a child should come to life 
it* partakes of the debility of the pareot, and is soon 
hurried to a premature grave, the victim of that 
nameless atrophy or wasting away which kills its 
thousands of infants annually. Impotence and ster- 
ility are generally the result of willful imprudence. 
Malformation is very rare; but failing power is not 
exceedingly common, but generally constitutes a self- 
inflicted evil. The author is frequently consulted by 
those contemplating marriage, and whenever bad 
habits have existed, or weakness is experienced, 
the precaution is most wise, and may prevent much 
future unhappiness. Ijikewise, as respects the mar- 
ried man, it often occurs that a few minutes' confi- 
dential conversation with one who has made these 
subjects a special study is attended by the happiest 
results. There are resources in the science of medi- 
cine, and few, very few, need despair of restora- 
tion to power of manhood. But we will refrain from 



102 EFFECTS OF SELF-ABUSE. 

further details, our object is friendly suggestion, not 
importunate dictation. We will conclude this chap^ 
ter with a few words of the celebrated Lallemand: — 
'^Many diseases, when left to themselves, work their 
own cure, provided only they be not exasperated by 
the imprudence of the patient. This is not the case 
with spermatorrhoea, chiefly, perhaps, because the ef- 
fects produced by the disease itself are favorable to 
to the increase of involuntary discharges. The natu- 
ral tendency of this disease to become aggravated, as 
the result of its own effects, frequently leads to a fa- 
tal termination. The patients generally expire in one 
of the attacks of sjmcope that follow congestion of 
the brain. In this way such of the insane who have 
fallen into a state of dementia usually expire. Many 
die from diseases [as consumption, &c.] aggravated 
and inflamed by unsuspected sj)ermatorrhoea; the 
symptoms are treated by the j)hysician, but the great 
cause, spermatorrhoea, remains unsuspected. 




TREATMENT OF SPERMATORRHCEA. jQg 



Treatment of Spermatorrhoea, Sem- 
inal Weakness and Nervous 
Debility. 



Like many other intractable diseases, sperma- 
torrhoea has been the '* opprobrium medicorum " of 
the regular practitioner. From its tediousness, the 
medical man is wearied of it; and, like an obstinate 
gleet, after trying all possible remedies, has given up 
in despair, Nor is this altogether to be wondered at, 
when we consider the extreme difficulty of the diag- 
nosis. Spermatorrhoea is a drainage or waste, a 
dribbling away of the seminal fluid. As already ex- 
plained, it may exist unknown, and, consequently, 
unattended to until great mischief has been inflicted 
on the constitution and yital powers. Now what are 
the indications of treatment? Naturally, to give 
tone to the vessels that neglect their office; to prevent 
the too profuse secretion of impoverished fluid; to 
establish a healthy relation between the two; to re- 
move the provoking causes that brought about the 
first estrangement; to cultivate the mind into higher 
notion of its importance, and thereby withhold the 
irritating consequences of disordered imagination. 
The treatment, then, of spermatorrhoea and its ac- 



i()4 TREAtMENT OF SPESMATOERHCEA. 

companying affections, mental and phyBical, may be 
divided into — First:: — Local and Constitutional. See. 
ond: — Moral and Dietetic. The first step on wliich 
we must insist is tlie relinqaishing of those practices 
which have occasioned the disease This is essential; 
the most careful and the most scientific treatment 
must otherwise increase the mischief, and, by giving 
greater temporary strength, enable the patient to in- 
flict on himself more permanent evils. A due atten- 
tion to air, exercise, sleep and regimen is in all cases 
proper, and entirely within the control of the pa- 
tient. A local remedy of great value is cold water; 
the sponge-bath or shower-bath should be used in the 
morning, a small quantity of bay salt being dissolved 
in the w^.ter. Coarse toweling and flesh brushes 
should be used after the bath; a suspensory bandage 
should be used, the diet should be generous, but not 
stimulating, animal food in moderation, and he should 
eat little and often, rather than too full a meal. Ex- 
ercise must not be neglected, moderate at first, and 
gradually augmented. Stimulating drinks are im- 
proper, spirits are m all cases hurtful; a glass or two 
of wine may be taken if demanded by previous habit. 
In this case a pale dry sherry will be best. With 
respect to medicines, a sketch only of the treatment 
can be offered. Cases vary so widely, that the cura- 
tive means must be varied accordingly. The class of 
drugs which allay excitement and irritability are first 
likely to be required, for the stomach is so weakened 
and capriciou'3 that the disease is ft'equently mistaken 
for indigestion. Mild and cordial laxatives, alterative 



TREATMENT OF SPERM ATOERHCEA. ^05 

irugs, with neutral salts, febrifuges, and sedatives, 
vill soon quiet the system, and enable it to tolerate 
tonic and restorative medicine, which if commenced 
with, are decidedly injurious. But what is. the mean- 
ing of tonic? for no word is so much misapplied. One 
man means quinine, another iron, a third mineral 
acids, whilst a fourth means stimulants , and so on 
through the whole pharmacopoeia. Now, we mean, 
not any one, but the whole class of medicines com- 
bined changed, increased, or diminished to suit the 
particular case; in this consists the real art of scien- 
tific prescribing. One man gradually gathers strength 
from quinine, which would not suit another, whose 
deterioated blood-globules will become red and healthy 
under the exhibition of iron, in some of its numerous 
preparations. The peculiarity of my treatment con- 
sists in the selection and practical adaption of reme- 
dies we possess. And the above are but a few of the 
remedies we employ in generative diseases or debility. 
The peculiarity of oar treatment is to act directly on 
the seminal vessels, to strengthen without exciting 
and so restore health by removing the cause of dis- 
ease. It would be easy to recommend various reme- 
dies; but medicines in the hands of timid, irresolute 
or ignorantjis more likely to produce evil than advan- 
tage. In all cases let the best advice be sought from 
one who has made these diseases a special study. 
Someare prevented from applying for assistance from 
dread of accidental exposure; it may, therefore, be 
proper to remark, that it is our rule to destroy all 
correspondence at the termination of each case; or if 



106 UEETHEAL DISCHARGES. 

preferred, to return it to the writers. Inviolable 
secrecy and certain relief are the boons we offer to 
suffering humanity. Unfortunately, practitioners in 
this country have long been averse to selecting this 
branch of medical art as a study; many distinguished 
men have risen to fame and affluence by devoting 
their talents to midwifery, operative surgery of the 
eye and ear, &c. The author of this treatise is con- 
tent to brave the sneers of the ignorant and envy of 
the malicious, when he reflects on the gratitude of 
those whom he has rescued from an untimely grave; 
he knows that in selecting this peculiar department 
of medicine his usefulness has been increased, and 
that he deserves well of his fellow men. 



On Certain Urethral Discharges. 



We shall not here consider the gonorrhoeal dis- 
charges, as those are treated on in another part of the 
work. There are, however, other discharges, and of 
a serious nature, which often call for skillful and 
attentive treatment. The first of these is termed 
gleet, which is the consequence of an ill-cured or 
neglected gonorrhoea or clap. There is another dis- 
charge, a discharge of the semen without sensation. 



URETHRAL DISCHAEGES. 107 

which is the result of a debilitated frame, and is 
frequently induced by long-continued self -pollution, 
or long residence in hot or cold climates. The penis 
is invariable damp and clammy; there is a slight 
mucous discharge rather thicker than ordinary clap« 
which sticks in patches on the linen, and between 
the nut and foreskin of the penis. Under the mi- 
croscope this discharge is found to consist of 
spermatoza, frequently in a mutilated state, and free 
from vitality. The affection is characterized by the 
emission of semen upon the very first attempt at sex- 
ual intercourse, and often before a regular erection 
can take place; sitting in a warm room, horse exer- 
cise, and many trivial causes will produce it. The 
emission causes little or no sensation, excepting 
sometimes a slight spasm. These discharges are not 
contagious, but sexual intercourse must be studious- 
ly avoided on account of the great injury that may 
result to the patient. Such discharges are generally 
connected with deficiency of generative power. In 
one instance under our notice, impotence was almost 
complete; in another [a married professional man], 
the powers had greatly declined. These patients 
were in the prime of life; both had, however, led ir- 
regular lives. The irritation in cases of this nature, 
will generally be found to exist in the prostate gland 
which is often enlarged; hence a frequent desire to 
urinate, and a feeling as if the bladder were com- 
pletely emptied, and as though a few drops of urine 
were retained in the posterior part of the urethra. 
This form of discharge is generally confounded 



108 . WITHDRAWAL. 

with a common contagious clap, and treated yigor- 
ously with copaiba, cubebs and injections. A cure by 
these means is impossible; the disease is increased, as 
the general health suffers from the remedies. It is, 
however, quite true that these patients have pre- 
viously suffered from gonorrhoea, in some instances 
more than once. But in order to cure, we must pu- 
rify the blood, and strengthen the parts. The sub- 
ject, altogether, is well worthy the careful attention 
of the profession, for these cases are decidedly on the 
increase. 



^^ 



Withdrawal. 



There is a Practice which is very prevalent and very 
destructive and canni)t be too highly censured. It is 
followed in all classes of society among the married 
and consigns thousands to the grave annually. I re- 
fer to the horrible and filthy habit of withdrawal dur- 
ing coition, and yet pernicious as this habit is, no 
voice has ever been raised against it as I have heard, 
indeed many married people practice it by advice of 
the family physician, where the wife is deformed or 
subject to miscarriage or from any cause unable to 
give birth to living children without endangering her 
own life, and so the husbnad practices that which is 
far worse than masturbaation and thereby risks the 



WITHDEAWAL. 109 

sacrifice of his health, for such a course is snre to end 
in nervous debility, loss of vitality and manhood, and 
indeed consumption and an early grave. Thousands 
of married people indulge in this pernicious habit to 
a great degree to say nothing ofwhat is practiced by the 
unmarried. But the question will be asked, what shall 
we do, if on the one hand the wife's life is in danger, 
and on the other, that of the husband? what course 
shall be pursued? shall we cease from cohabitation 
altogether? We answer no! We say there are means 
provided whereby cohabitation may be indulged and 
the life of neither party jeopardized. In speaking of 
puberty and its diseases in another part of this work, 
I have said that married people in this dilemma may 
consult me and I will show them a way out. Mas- 
turbation I have told you was destructive to health, 
but the habit of which I now speak is much worse, 
the passion is checked at the height of excitement 
and Idiocy, Spinal Diseases, Affections of the Kid- 
neys and Bladder, l^ervous Debility and Consump- 
tion is induced. Thousands of married people have 
followed this practice, ignorant of its effects, until 
they have become walking skeletons. I have treated 
hundreds of such persons, far on the road to decline, 
and in my first consultation with them pointed out 
out the cause. They at once admitted the fact but 
laid the blame to their physician for encouraging 
them in the evil. 

After curing them I have always shown them how 
to evade future danger. The business of the medical 
man is to treat of evils, causes, effects, and preven 



110 QUESTIONS FOR PATIENTS. 

tives as well as cures; and I feel no delicacy in warn- 
ing mankind to flee from those evils that are annually 
carrying thousands to an untimely grave. 

Persons desiring to consult me on this subject 
must give their Express office address or they cannot 
be replied to. 

Questions for Pationts. 



Most cases can be treated by mail, where a visit to 
this city would be fraught with heavy expense or other- 
wise inconvenienced, yet there are cases where a per- 
sonal examination is im'^erative and the presence of 
the patient required for a correct diagnosis of his dis- 
ease. For the convenience of those who find it out 
of their means to visit me, I propose a series of ques- 
tions, the answers to which will enable me to form a 
just opinion of their case. 

1, — What is your name and age, are you married 
or single, your occupation, post-office address, ex- 
press office, how far do you live from the latter? 

2. — Are you weak and emaciated, or stout and 
fleshy? 

3. — Are your bowels regular or constipated? 

4, — Did you ever use medicine for your present 
disease, and what kind, as well as you know? 

6. — How long have you had your present disease, 
and what kind of doctors have treated you, if any, as 
well as you know? 



QUESTIONS FOR PATIEK"TS. Ill 

6. — At what time of life did you begin masturba- 
Hon, if this is not the cause of your trouble, describe 
It fully in your own words? 

7. — Could you bring semen when you first began 
masturbation? 

8. — About how often on an average, through the 
whole time, did you commit the act? 

9. — How long since you entirely quit the practice? 

10. — Are there little red spots or a dull bluish color 
on the head of the penis? 

11. — Have you a dislike for the society of females? 

12. — Are you impotent or deficient in erections? 

13, — Impotency may be caused by sexual excess- 
es. Did you ever indulge in excess? 

14.— Have you emissions of semen on occasion of 
lewd sights or amorous thoughts of dallying with fe- 
males? 

15. — Do you lose semen in bed and how often, does 
it occur with lascivious dreams and does it producp. 
debility? 

16. — Do you have emissions, only a drop or two- 
after urinating or at stool ? 

17. — Does the left testicle hang lower than tne 
other; is it enlarged, or soft and inflamed or othei 
wise affected? 

18, — Are the penis and testicles small in size or 
were they always small? 

19, — What are your habits regarding eating. drink- 
ing, exercise and bathing, or washing the body? 

20. — Could you conveniently visit the city in case 
it should be necessary for you to do so? 



112 QUESTIOi^-S FOE PATIES-TS. 

21. — Are the eyes dim, red, weak or inflamed? 

22. — ^Have you any pain in tlie shoulders, back, 
chest or stomach? 

23. — Is your mind much occupied with thoughts 
of your disease? 

24. — Are you troubled with heaviness, weakness, 
weariness in the whole body? 

25.— Are you heedless for business, having no am- 
bition, but, ou the contrary, feel lazy and indolent? 

26, — Do you have thoughts of self-destruction? 

27. — Do you often have a ringing noise in the ear 
or deafness? 

28. — Can you concentrate your thoughts on any- 
thing, or have you a confusion of ideas occasionally 
running through your mind? 

29. — Is your memory good or bad? 

30. — How often do you make water in twenty-four 
hours? 

3i. — Has the urine a sediment on standing in a 
chamber? 

32. — Have you skin eruptions, and where? 

33, — Are you nervous — the least excitement caus- 
ing trembling. 




WOMAN A2fD HEE DISEASES. 113 



Woman and Her Diseases. 



A difference of opinion exists upon the propriety 
of any physician making a selection of some one 
branch of medical science, and confining himself in 
his reading, investigations, and practice, to that par- 
ticular branch, and so advertising . For my own part 
after a thorough medical education, at twenty-two, 
like most young men in all the professions, I thought 
I knew it all or nearly so, but actual demonstration 
at the bedside of the sick, and in the room of the dy- 
ing, soon convinced me of my inability in many 
cases, and that medicine is not one of the exact 
sciences, and that the only hope f or the adT ancement 
of medical knowledge lays in the field of experience. 
After seven years of toil, and a fair share of patron- 
age, I was led to the following conclusions: First, 
that if a physician embrace in his practice the treat- 
ment of all diseases his knowledge of all -of them 
must necessarily be vague and inaccurate. Secondly, 
that the common mode of prescribing from the state- 
ment of the patient, with perhaps no examination at 
all, and no record being made of the symptoms, is, 
to say the least of it, not the best mode in which to 
conduct a case of disease, especially when the treat- 
ment extends through several months. Thirdly, that 
in many eases, from the dishonesty or ignorance of 



114 WOMAIS" AH'D HER DISEASES, 

druggists, the medicines are frequently rendered in- 
effective, and positively injurious to the patient. 
Fourthly, that I could no longer follow such a course 
of uncertainty, where such important interests were 
involved; and I appeal to the general public if my 
conclusions were not legitimate and correct. Aban- 
doning the general practice, I chose a branch of med- 
ical science sufficiently extensive to engaga all the 
powers of any physician, and one that was certainly 
susceptible of improvement. In the study of these 
troubles, I have not confined myself to the knowledge 
embraced in the allopathic system of medicine by any 
means. I have found that every system furnishes a 
large amount of valuable information pertaining to 
them. The results I have accomplished during the 
twenty-five years I have been engagad in this special 
practice, have fully convinced me that no person can 
acquire great skill in the treatment of these com- 
plaints, unless he devotes his whole attention to 
them. In fact the adoption of some particular spec- 
ialty is the rule in almost every profession and 
who will have the hardihood to affirm that we 
are not benefitted thereby, both individually and col- 
lectively. In the legal profession we have our crim- 
inal, land title, admiralty, United States, State, and 
other classes of lawyers, each having an indispensible 
amount of legal knowledge, but giving especial atten- 
tion to his particular branch, and reading very many 
volumes not included in the regular course, relating 
particularly to that branch. In painting we have our 
landscape, portrait, ornamental, carriage and sign 



WOMAN AND HER DISEASES. 115 

painters, each excelling in his particular branch, but 
any attempt to become perfect in all, would certainly 
meet with a failure, The same fact obtains in archi- 
tecture, manufactures, merchandising, and even 
farming. "With these facts before us, the medical 
man who assumes to know everything, presumes up- 
on the ignorance of his patrons, and in the matter of 
life and death, if a physician, by the adoption of a 
particular specialty can increase his skill, even ten 
per cent,, it is almost priceless, and if my own expe- 
ience is any criterion, the general public so regards 
it, I am of the opinion that it would be a step for- 
ward, if our legislators would interfere and oblige 
every physician to write his prescriptions in plain 
English. Nothing short of this, in my opinion, will 
bring quackery to an end, and though I do not press 
so desirable an object, I am ready for it, and for years 
have allowed my patients to know on request the med- 
icines they are using. 

When a case of disease is presented to me, my first 
efforts are directed to ascertain what is unnatural or 
or wrong, always making an instrumental examina- 
tion when I regard it necessary. Having determined 
the exact nature of the complaint, I make a record of 
all the symptoms in detail, in a case book kept for 
that purpose, together with the patient's habits, 
dress and occupation, as well as the previous treat- 
ment. Having thus made a complete record of the 
case, I can watch the changes that occur in the con- 
dition of the patient, and consequently am enabled to 
direct the treatment with far greater success than if 



116 IBMALE IRREGULARITIES, 

I trusted solely to memory. Again, my prescriptions 
are prepared in my own laboratory, under my special 
supervision, and I purchase only the best and purest 
of drugs, irrespective of cost. I am vain enough to be- 
lieve, thousands all over the country owe the health 
they now enjoy to the skill I have acquired by con- 
fining myself to these diseases as a specialty, and the 
fidelity with which I have tried to address myself to 
real conditions. 




Female Irregularities. 



Females, owing to the peculiar and important re- 
lations which they sustain, their peculiar organiza- 
tion, and the offices they perform, are subject to 
many sufferings and ailments peculiar to their sex. 
Freedom from these contributes in no small degree 
to their happiness and welfare, for none can be happy 
who are ill. Not only so, but no one of these various 
female complaints can long be suffered to run on 
without involving the general health of the individual 
and ere long produc permanent sickness and pre- 
mature decline. 



PATHOLOGY OF THE UTEKUS. 117 



The Pathology of the Uterus and its 
Appendages. 

The sexual system of the human female consists of 
the uterus, and of its internal and external append- 
ages. Before the age of maturity, the uterine organs 
are small, exert but little influence on the constitu . 
tion of the female, and are not liable to many diseas- 
es. From the age of fourteen to fifteen, when mens- 
truation is usually established, until the middle 
period of life, the functions of the uterus are sub- 
ject to serious derangements; and at a more advanced 
period of life, its structures are often destroyed by 
diseases of a malignant nature. In extreme old age, 
the uterine system, without any organic disease, un- 
dergoes a great diminuation of volume, and not n- 
frequently the canals of the Fallopian tubes and 
upper part of the cervix uteri become impervious. 

The uterus has been found wanting in some 
women; others have had the orifice closed by a mem- 
brane, or a dense fleshy substance, or the os uteri has 
opened into the rectum. The vagina is also some- 
times malformed. Its orifice has been impervious 
from unusual strength of the hymen, or a consider" 
able portion of the canal has been closed within the 
OS externum, by a thick fleshy substance. Cases have 
been recorded in which the whole vagina has been 



118 PATHOLOGY OF THE UTERUS. 

filled up "with a dense solid mass. An extreme nar- 
rowness and shortness of the canal has also been re- 
peatedly observed, and in some it has been altogether 
wanting. In the neck of the bladder, urethra, and 
parts situated around the orifice of the Vagina, many 
varieties of malformation have occurred. 

We ascertain the presence of disease in the uterine 
system chiefly by the uneasy sensations of the patient, 
by the disordered functions of the organs, and by the 
changes in their situation, form, and sensibility. The 
mammae, stomach, brain, and nervous systems are 
all sympathetically affected in many of the diseases 
of the uterus, and in most of the organic affections 
of the organ and its appendages there is severe burn- 
ing or lancinatiDg pain experienced in the hypogas- 
trium, or dull gnawing pain in the sacrum, loins, 
pubis, and upper part of the thighs. There are often 
sickness and vomiting, loaded tongue, impaired ap- 
petite, and other sigas of gastric derangement. There 
are frequently, also, dull pain, sense of giddiness, 
confusion of the head and many irregular nervous 
affections. The mammae sometimes become enlarg- 
ed and painful, as in the early months of pregnancy. 
The functions of the uterus, more particularly men- 
struation and conception,are interrupted or disturbed. 
There is frequently an altered secretion of the lining 
membrane of the uterus and vagina, and instead of 
the mucus which lubricates the passages, serum, pus, 
or blood are poured out in greater or smaller quanti- 
ty from the parts. When a female after the middle 
period of life suffers from an habitual discharge of a 



PATHOLOGY OF THE UtERTTS. 11^ 

serous, sanguineous, or purulent nature from the 
vagina, with pain in the back and irritation within 
the pelvis, an internal examination should be made 
to determine the condition of the uterus. It is neces- 
sary for the patient to reccollect that there is great 
variety in the form of the os-uteri in different women 
without disease. In some individuals its length is re- 
markable, and in many women who have had chil- 
dren, in whom labor has been natural, there are 
irregularities or fissures from laceration, where there 
is no organic disease. In some women, after repeated 
labors, the lips of the os uteri do not project, the ori- 
fice occupying directly the upper part of the vagina 
like a funnel. This we have repeatedly found to be 
the state of the os uteri in aged females, whether 
they have had children or not. Sometimes the orifice 
is so large as to admitthe point of the finger and pro- 
longed backward and to the left by an oblique fissure 
with round edges. Not only should the smoothness, 
hardness, and regularity of the lips of the os uteri be 
be examined, but the degree of dilatation of the ori- 
fice should be ascertained, if any exists, and whether 
it is giving passage to a tumor of any description. 
The size and weight of the uterus should also be de- 
termined, and whether the fluid covering the finger 
be mucus, serous, sanguineous or purulent. The con- 
dition of the vagina should likewise be accurately ex- 
plored, for there are few diseases of the uterus of a 
cancerous or malignant nature, in whieh some change 
s not perceptible in the coats of the vagina. It is by 



120 DISEASES OF THE FALLOPIAK TXTBES, 

an examination pei yaginam that we become acquaint- 
ed not only with the alteration of structure in the os 
and cervix uteri, but with the numerous displace- 
ments to which the organ is liable, 

I now propose to give a short account of some of 
the important diseases. 

1. Of the Fallopian tubes. 

2. Of the uterus. 

3. Of the vagina and organs situated around its 
orifice. 

DISEASES OF THE FALIiOPIAN TUBES. 

The fallopian tubes are two slender, tortuous canals 
about four or five inches in length, which extend 
between the ovariaand the upper angles of the uterus. 
They consist, like the uterus, of a peritoneal, mus- 
cular, and mucous membrane, and they perform the 
office of conveying the spermatic fluid from the uterus 
to the ovaria and, after impregnation, of carrying 
back the germ or ovum to the cavity of the uterus. 
They are liable to attacks of acute and chronic inflam- 
mation. The canals of the tubes are also sometimes 
obstructed, and sterility is the result. 

DISEASES OF THE UTEBUS. 

The most important diseases of the human uterus, 
accompanied with sensible alteration of structure, may 
be divided into three classes: — 

1 . Those which are produced by inflamation of one 
or more of the textures which enter into the compo- 
sition of the uterus, 

2. Those which arise from the formation of tum- 
ors in the parietes of the organ, or from enlargement 



ACUTE INFLAMMATION OF THE UTERUS. 121 

of the glands situated in its orifice, which have no ten- 
dency to degenerate into a malignant form, and do 
not contaminate the surrounding structures. 

3. Those diseases which result from a specific or 
malignant action of the uterus, by which its different 
textures and the adjacent viscera become disorganiz- 
ed. 

ACUTE INFLAMMATION OF THE UTERUS. 

Acute inflammation of the unimpregnated uterus, 
or Acute Metritis, is occasionally met with; the in- 
flammation may be confined to the internal mucous 
lining of the organ, to its serous coat, or to its proper 
tissue; or, the three may be simultaneosly affected. 

CAUSES. — The unimpregnated womb may be at- 
tacked with inflammation as a consequence of exposure 
to cold, menstrual suppression, excessive coition, and, 
indeed, the same causes that induce congestion of the 
organ . 

SYMPTOMS. — The attack may be very slight and of 
short duration, or it may be manifested suddenly and 
with much severity. A deep seated pain of more or 
less intensity, will be experienced in the pelvis or hy- 
pogastrium, with occasional or constant pains in the 
back, extending to the thighs, groins and pubic bones; 
the pain is aggravated on deep pressure being made 
over the affected organ, and also by urinating, def- 
ecating, sneezing or coughing. The pulse is quick, 
sometimes full or hard; at other times weak and com- 
pressible. 

The general symptoms vary considerably; it is gen- 
erally ushered in with rigors, succeeded by febrile 



22 lN-FLAMM:ATI02r OF THE UDEEUS. 

symptoms; there will be heat and dryness of the skin, 
constipation,irritablestomach,,dry and furred tongue, 
headache, slight delirium, &c. Ante version of the ut- 
erus, or retroversion, sometimes takes place, or the 
breasts may become painful and enlarged; and fre- 
quently the patient will faint while sitting up. Men- 
struation is usually suspended, but not in all cases. 

On a vaginal examination, the cervix will be found 
swollen, tender, and more open than nature, with 
more or less heat. Occular inspection will frequent- 
ly discover small, whitish, hard or soft granulations 
upon the cervix, with rednsss and vascularity of the 
surrounding parts, pain, discharge, and tendency to 
bleed upon the least touch, and to which condition 
the term 'Agranular inflammation" has been applied. 
The disease seldom proves fatal, unless the inflam- 
mation extends to the peritoneum and intestines. It, 
more commonly, passes into the chronic stage, occa- 
sioning various annoying and even serious consequen- 
ces. Among its terminations may be names, abscess 
induration, ramollissement, and gangrene of the 
uterus; though it frequently terminates in resolution. 
Chronic Inflammation of the Uterus, or chronic Me 
tritis, may be the result of an acute attack, or it may 
exist, more commonly, as the primitive affection, de- 
veloping itself very gradually. The inflammation is 
generally confined to the cervix and its lining mem- 
brane, though the whole organ, or any part of it, may 
be affected. 

Inflammation of the lining membrane of the uterus 
sometimes produces merely an increase of the natural 



INFLAMMATIOK OF THE UTERUS. 12S 

secretion of the part, in other c^SLses pus is secreted, 
as in inflammation of the mucus membrane of other 
organs . 

In some women who menstruate with pain, there 
is a membrane somewhat like the decidua, though es- 
sentially different in structure, discharged from the 
cavity of the uterus at each monthly period. Women 
who are afflicted with this peculiar disease of the 
uterus suffer more or less uneasiness in the region of 
the organ in the intervals of menstruation, and they 
seldom become pregnant. The false membrane is 
probably formed between the monthly periods, by a 
peculiar and specific inflammation of the mucous coat 
of the uterus. The symptoms would lead to the infer- 
ence that the substance of the uterus is also afflicted. 
Causes. — Chronic Inflammation of the uterus may 
be occasioned by anything which will maintain a con- 
stant excitement or irritation of the organ, as, ex- 
posure to sudden changes of temperature, severe labor, 
excessive coition, masturbation, stimulating diet, 
erotic desires, frequent child-bearing, menstrual de- 
rangements, abortions, blows externally,improper use 
of cathartics, pressaries, vaginal injections or emmen- 
agogues, dwelling in damp situations, constriction of 
the abdomen by tight dresses, metastasis of rheumatic 
affections, prolonged celibacy, alcoholic drinks, &c.; 
it frequently comes on without any assignable cause, 
and sometimes follows as a consequence of some fe- 
brile disease or inflammation of neighboring organs. 

Symptoms. — The symptoms of this disease vary 
very much, more especially those of a sympathetic 



124 ACUTE IXFLAMMATIOIT OP THE UTERUS. 

character. In some cases, the only symptoms wih be 
a mental depression, with slight and irregular leu- 
corrhoeal attacks. In others there will be more or 
less disturbance of the menstrual function, some diffi- 
culty or distrees in evacuating the rectum and bladder 
with slight pains in the region of the uterus; a sense 
of weight and dragging in the pelvis, heat, leucor- 
rhoeal discharge, tenderness of the cervix, weakness of 
the back, &c. The sympathetic symptoms are pain 
in the head, derangement of the stomach and diges- 
tive functions, palpitation of the heart, pains of the 
breast, sense of oppression, formication in the legs; 
cramps, hysterical attacks, nervous disorders, restless- 
ness, &c. And these symptoms may be met with in 
every degree, from a bare perception of them, to se- 
vere suffering and distress. 

Upon making a vaginal examination, more or less 
heat in the cervix may be present, or it may be of na- 
tural temperature, the body of the uterus, as well as 
the cervix, may be augmented in the volume from 
congestion, or they may be of normal size; when the 
cervix is affected there is pain or tenderness of some 
portion of it on pressure, and the os uteri is usually 
softer and more open than natural. When the body 
of the uterus is enlarged, the increased weight may 
be ascertained by elevating and poising it on the fin- 
ger When the cervix is observed through the spec- 
ulum, its redness is increased, and many of its blood- 
vessels may, in some cases, be seen. Chronic inflam- 
mation of the uterus may terminate in resolution, or 
it may continue, giving rise to ulceration, especially 



ULCEEATIOiq' OF THE UTERUS. 1^6 

of the cervix. The malignant affections of this organ, 
are often preceded for a longer or shorter time, by a 
chronic inflammatory condition of some portion of it; 
but it is doubtful whether this condition is, in reality, 
the cause of the subsequent mischief, except it be im- 
properly treated, or of long continuance. Obstinate 
chronic uterine inflammation in a scrofulous female 
or in one whose relatives have suffered from a can- 
cerous disease of the part, must be watched with 
great care and anxiety. 

UliCEEATION OF THE NECK OF THE UTERUS. 

Chronic Inflammation sometimes terminates in 
resolution, but usually results in ulceration of the 
neck of the womb . 

In ulceration of the os and cervix uteri, there is a 
loss of the epithelium covering the cervix, as well as 
a disorganization, to a greater or less extent, of the 
subjacent papidce. The ulceration may be limited, 
exist in patches, or occupy the entire external sur- 
face of the cervix, passing within the lips of the os 
uteri. On lightly passing the finger over them, a 
slight depression will be felt, of greater or less ex< 
tent, the borders of which will be regular or irregu- 
lar, and well defined; sometimes the parts will be 
very tender, and bleed upon being touched Upon 
removing the finger an inodorous, whitish, or yellow- 
ish substance will be observed upon it, occasionally 
tinged with blood. The irregularly bordered ulcer is 
stated to be indicative of a syphilitic taint, but I have 
frequently observed a regularly defined margin in 



126 tJLClBATIOK OF THE tJTEEUS. 

cases connected with this infection. When the ul- 
ceration is very superficial the finger may not detect 
it. The employment of the speculum will discover 
one large ulcerated surface, or many smaller ones of 
various sizes, with well-defined edges, and reddish, 
granular surface, the smaller ulcerations coalescing 
and forming larger ones, giving to the surface of the 
OS an eaten corroded appearance. The os is general- 
ly open more than natural. 

In ulceration, the parts may in some cases be ex- 
quisitely tender, while m others there will be but 
very slight increase of sensibility, or perhaps, none 
at all. Erosion and ulceration are very common in 
strumous individuals laboring under leucorrhoea; 
there is a muco-purulent discharge, which has no 
odor, unless it has been detained for some time in 
the vagina, when it has a smell like that of sulphur- 
etted hydrogen. Cleanliness of the parts will remove 
this fetor. 

An open condition of the os, the cervix being 
swollen and spongy; with heat, tenderness and some 
discharge of blood, frequently follow irritations pro- 
duced and continued by the use of pessaries, etc. 

Syynptoms. — There is, generally, an almost constant 
discharge, usually more or less profuse, of a ropy 
consistence, transparent or semi-transparent, and 
communicating no stain, but merely a starch-like 
stiffness to linen upon which it has dried. It has al- 
kaline reagency,but when it descends into the vagina 
and is acted upon by the acid discharge of this canal, 
it becomes coagulated and opaque, and loses its vis- 



ULCERATI015r OF TH EUTERUS, 127 

cidity, resembling very closely the vaginal discharge. 
When ulceration is present, the discharge will be 
muco-purulent, and of a greenish or brownish tinge; 
and sometimes it will be more or less bloody. Occa- 
sionally, the blood discharged from the cervix may be 
so constant and profuse, as to be mistaken for mon- 
orrhagia. In connection with this discharge will 
exist a variety of local and constitutional symptoms, 
from those of a mild character to those of great se- 
verity. Paleness or sallowness of complexion, occa- 
sional or constant weakness in the back and loins, 
with more or less pain; heaviness, with bearing down 
or dragging sensations, menstrual derangements, as 
dysmenorrhea, amenorrhea, monorrhagia, &c., are 
usually complained of. In some more active cases 
there may be considerable heat and itching of the 
parts; and the discharge may be acrid, excoriating 
the external parts with which it comes in contact. 
The bladder may become irritable, giving rise to dif- 
ficult urination, or retention of urine, scalding, &c. 
Coition is frequently very painful. 

Debility, fatigue on the least exertion, indisposi- 
tion to exercise, torpid liver, deranged appetite, acid 
stomach, disagreeable eructations, constipation, more 
or less severe headache, eruptions on the forehead 
and face, hollowness of the eyes, swelling of the eye- 
lids with a dark appearance encircling them, flabbi- 
ness of the breasts, palpitation of the heart, colicy 
pains, coldness of the extremities, flashes of heat, 
vertigo, faintness, hysteria, indifference to surround- 
ing objects, &c., are among the more common gener- 



128 TUMOKS, 

al symptoms. When there is an accompanying relax- 
ation of the vaginal walls, prolapsus of the uterus 
will be present, rendering the disease more difficult 
of cure. Sometimes the tongue will be pale, flabby, 
and showing the indentations of the teeth upon its 
edges, especially when amenorrhea is present. Ster- 
ility is frequently due to ulceration of the womb, es- 
pecially when amenorrhea or dysmenorrhea is present, 
with a debilitated, anemic condition of the system; 
and this is almost iavariably the case, when the dys- 
menorrhea is attended with membranous exudations. 
This is certainly a very fortunate circumstance, 
since when conception does take place, it tends to 
greatly aggravate the disease, and in some instances 
a fatal termination is inevitable. 

When the constitutional symptoms that usually ac. 
company ulceration of the neck of the womb are but 
slight, the discharge from the vagina is frequently 
regarded by the patient as a simple leucorrhoea. In 
every case where the discharge from the vagina has 
existed for some time, and the ordinary means em- 
ployed for its cure have failed to give permaneut re- 
lief, there is sufficient reason for suspecting inflam- 
mation or ulceration of the neck of the womb, that 
must, sooner or later produce serious results. 

TUMORS AlTD ENLARGEMENTS WHICH ARE NOT OF A MALIG- 
NANT NATURE. 

The fibrous tumor is usually of a globular form, 
and varies greatly in size. It has generally a cartil- 
aginous and fibrous structure, and the fibres are often 



TUMORS. 129 

disposed in a concentric or converging manner. This 
tumor has sometimes a granular appearance., or seems 
to consist of a congeries of smaller tumors, of differ- 
ent densities, each having a thin capsule of cellular 
membrane. When large, the tumors often unequal, 
lobulated, or divided by deep fissures, and arteries 
and veins of considerable magnitude can be traced 
into its substance. Cavities containing a bloody or 
dark colored gelatinous fluid are sometimes formed 
in the central parts of the tumor, by a process of 
softening which its substance undergoes. 

The symptoms and the accidents which these con- 
cretions of the uterus produce, do not affect this 
organ exclusively. Their situation with respect to 
the bladder may greatly derange its functions. The 
following observation will show that difficulty in 
passing the urine, and even retention of urine, may 
be occasioned by the presence of a concretion in the 
uterus. A woman, seventy-two years of age, died at 
Lille in 1688, She had been afflicted for fifteen or 
sixteen years with difficulty in voiding the urine, in- 
supportable pains in the region of the loins, os pudis 
and perineum. The cause of the symptoms was re 
ferred to the kidneys or bladder, but accidentally the 
uterrTS was examined and it appeared to be scirr- 
hous, A large hard stone filled its whole cavity, 
which was considerably dilated by this foreign body. 
The outer layer of this stone was of a friable matter, 
which was easily detached. 

Mr. Louis relates the case of another woman, six- 
ty-two years of age, who died of a disease of the chest 



130 TUMORS. 

in the Salpetriere, on the 16th of April, 1744. On 
opening the body the uteius was found as large as a 
hen's cggf and low down in the vagina. 

Salius relates the case of a nun sixty years of age 
who suffered violent pains in the uterus for several 
months. The pains, which were alleviated by no 
remedies, ceased after the escape of a concretion the 
size of a duck's egg. 

About the year 1070, in a village of the Soisson- 
nais, according to the chronicle of the Antonin as 
quoted by Louis, a pregnant woman, who had been 
three week's in labor, was delivered of three stones. 
One was of the size of a goose's egg, the other was as 
large as a hen's egg, and the third was like a nut. 
The child immediately followed, and the woman was 
freed from her pains. 

Sometimes we find only one tumor present in the 
walls of the uterus; at other times several are met 
with of different sizes, and not unfrequently they are 
combined with cysts and tumors of the ovary. They 
have no disposition to ulcerate, nor to degenerate 
into a malignant form, though they are not uiifre- 
quently observed in individuals who have cancerous 
affections of the uterus, mammae, liver and other or- 
gans. They have seldom, if ever, been observed be- 
fore the age of puberty, and Bayle affirms that they 
are most frequently met with in the bodies of those 
women in whom the physical signs of virginity are 
present, that in twenty out of one hundred women 
taken indiscriminately after the middle period of life, 
the fibrous tumor more or less developed, is found on 
dissection imbedded in the walls of the uterus. 



CANCEROUS DISEASES OF THE UTERUS. 131 

Before the middle of the eighteenth century, few 
facts of any importance had been ascertained respect- 
ing the origin and structure of the polypus of the 
uterus. The older writers included under the term 
polypus all the different tumors of the uterus which 
have now been described, the greater number of the 
organic affections of the os and cervix uteri of a ma- 
lignant nature, and also fleshy moles or ova in a 
morbid state. The confusion and obscurity in which 
the pathology of uterine polypi has so long remained 
may be attributed in a great measure to the circum- 
stance that few opportunities have been enjoyed of 
investigating their structure before it has been de- 
stroyed by inflammation and sloughing produced by 
artificial or natural means. 

OP THH MALIGNANT OR OANOBEOUS DISEASES OF THE 
UTEEUS. 

Scirrhus, carcinoma, cauliflower excrescence of the 
OS uteri, corroding or phagedenic ulcer of the cervix 
uteri, are some of the terms which have been employ- 
ed by different authors to designate the varieties of 
malignant or cancerous disease of the uterus. That 
-there is no essential difference between these affec- 
tions is proved by the fact, that the morbid alterations 
of structure by which they are characterized are 
sometimes found blended together in the same uterus 
and they have all this common tendency that they 
invariably proceed after a longer or shorter period to 
destroy the different textures of the uterus and the 
adjacent viscera. 



132 CAXCEKOUS DISEASES OF THE UTERUS. 

When the os uteri is affected with, that form of 
malignant disease termed carcinoma, it generally "be- 
comes thick, hard, irregular, and the lips are everted 
and painful on pressure. One or both lips of the os 
uteri become projecting, or they are changed into 
hard, irregular knobs or tumors, which frequently 
bleed when touched. In the greater number of cases 
of malignant disease, the os and cervix uteri are the 
the parts first affected, but the opinion is incorrect 
that the cervix uteri is invariably the part first at- 
tacked, and that the disease commences in the glands 
of the part. In some cases the lining membrane of 
the fundus or body of the uterus is extensively disor- 
ganized by malignant disease before any change has 
taken place in the lower portion of the uterus. The 
cavity of the uterus may be distended with a large, 
hard, carcinomatous tumor, adhering to the fundus, 
or with a soft fungus mass growing from the lining 
membrane of the body of the uterus, while the os 
and cervix have undergone no sensible alteration in 
structure. 

Causes. — It is often a hereditary disease It is not 
produced by inflammation, but inflammation is often 
excited in its progress, and when produced hastens 
the fatal termination of the affection. Mechanical 
injury has been enumerated among the causes of 
malignant disease of the uterus; but we have never 
met with a case where it could be distinctly referred 
to violence of any kind. 

A great part of my practice has been in the treat- 
ment of this difficult and obscure class of diseases, 



FALLING OF THE WOMB, 133 

having treated thousands of cases, I feel myself com- 
petent to cure all curable cases, and for the encour- 
agement of those afflicted I will say I have cured 
many cases given up as hopeless by other physicians. 

PROLAPSUS UTERI OR PAIiLING OP THE WOMB. 

Among the various displacements of the womb, 
there is none so common as prolapsus, or falling of 
the womb, by which is meant a condition of this or- 
gan in which it is much lower than it should be. It 
is more generally met with among married women, 
especially those who have borne children, but may 
occur among the unmarried. It is sometimes of a 
most obstinate character, resisting all remedial meas- 
ures, and proving a source of suffering to the female 
for the remainder of her life . Most cases are curable 
however. 

Symptoms. — Prolapsus of the womb varies from a 
very slight descent below the natural position of the 
uterus, to its projection through the external parts, 
occasions alterations in the relative situation of the 
neighboring organs, from which many uapleasant 
symptoms arise. It generally comes on with a feel- 
ing of fullness in the pelvis; a weight and bearing 
down in the parts, with a sensation of dragging which 
extends from the navel to the loins; pains in the 
back extending around into the groins; considerable 
distress standing or walking; the bowels are usually 
constipated; and the urine will be unnaturally hot, 
and pass with more or less difficulty. Most of these 
symptoms are relieved when the patient lies down. 



134 ANTEVEESION OF THE UTEEUS, 

Leucorrhoea, excessive menstruation, or painful men- 
struation, are frequent attendants upon prolapsus of 
the womb. 

From its intimate relation with the womb, the 
stomach soon becomes deranged, the appetite is ir- 
regular or deficient; the stomach and bowels lose 
their tone; rolling of wind in the bowels, accompanied 
with a rumbling noise, is common; the spirits become 
depressed and the patient loses all desire for exercise, 
employment, or even life. The symptoms common 
to this complaint are varied, and numerous, so much 
so, that a careless practitioner will be led to suspect 
disease of various other organs, which these frequent- 
ly simulate. 

Causes. — Falling of the womb is owing to a relax- 
ation and want of tone of the vagina, and of the lig- 
aments which sustain this organ. This may arise from 
over-.exertion, straining at lifting, coughing, violent 
vomiting, &c,, it may be the result of many child- 
bearings, or repeated floodings, menorrhagia, leu- 
corrhoea, and frequently occurs from a general debil- 
ity of the system. It may take place from getting up 
too soon after delivery, and may also happen during 
pregnancy or even parturition. It is sometimes com- 
plicated with stone in the bladder or with polypus of 
the womb. A common cause is inflammation or ul- 
ceration of the womb itself. 

ANTEVEESION OF THE UTEBUS- 

Anteversion of the womb is by no means a common 
displacement, and rarely, if ever, occurs during preg- 



ANTEVERSION OF THE UTERUS, 135 

nancy except at an early period. It may be gradually 
occasioned by pelvic tumors pressing upon the fun- 
dus and Xorcing it downward anteriorly; by relaxa- 
tion of the ligaments, owing to previous pregnancies, 
or, it may come on by the exertion of a sudden force 
while the bladder is empty, as falls, violent and sud- 
den muscular efforts, &c. It has also been occasioned 
by fecal accumulations in the rectum, persistent 
diarrhoea, and by hypertrophy of the round ligaments 
resulting from previous inflammation. 

Symptoms. — The symptoms will not be sc well 
marked in cases where the anteversion comes on 
slowly, as in those where it is of sudden occurrence; 
and sometimes the only symptoms complained of will 
be an uneasiness of the part, with more or less bear- 
ing down, and pei'haps leucorrhoea. There will be a. 
sense of fullness, weight, uneasiness, and bearing 
down, with pain in the hypogastric region and about 
the perineum, as well as in the back and thighs; a 
frequent desire to urinate, which may be effected 
with more or less difficulty; the symptoms are reliev- 
ed on lying down, but much increased on assuming 
the erect posture, as in standing, walking, riding, &c. 
These symptoms will be more or less severe, accord- 
ing to the completeness of the version. Leucorrhoea 
may accompany the accident, and there may be a de- 
ranged condition of the catamenial function. 

These symptoms can only lead us to suspect some 
disorler of the pelvic organs; a vaginal examination 
will confirm our suspicions and reveal the true char- 
acter of the malady. The uterus will be felt blocking 



136 EETKOVEESIOK OF THE UTERUS. 

lip the pelvic cavity, the fundus being tilted over an- 
teriorly so as to press upon the neck of the bladder, 
while the cervix uteri is thrown backward so as to 
press upon the rectum, the long diameter of the 
uterus lying in an anteroposterior direction. 

Discrimination. — Anteversion of the uterus may 
be determined from retroversion by the fundus being 
thrown anteriorly instead of posteriorly; from calcu- 
lus in the bladder, or vaginal cystocele, by passing a 
catheter into the bladder, and feeling the point 
of it in the supposed tumor by a finger introduced 
into the vagina; from pelvic tumors, by the pres- 
ence of the OS and cervix uteri; although when 
these tumors produce the displacement^ it may be 
difficult to detect them; and from an ovarian tumor, 
by its sensibility^ by the presence of the os and cervix 
and by its history. When the cervix cannot be readily 
reached with the finger, or the os uteri is pressed 
closely upon the sacrum, an examination per rectum 
may enable us to complete the diagnosis. 

RETROVEESIOIS^ OF THE UTERUS. 

Eetroversion of the Uterus is exactly the reverse 
of anteversion, and is a much more frequent accident; 
it is occasioned by a relaxed condition of the round 
ligaments. These ligaments are so attached to the 
fundus of the womb and the Pelvis as to prevent the 
former from falling downward and backward to any 
extent, unless they are very much relaxed. This re- 
laxation may be produced by several causes; a very 
common one is a retention of the urine, which dis- 



RETROFLEXION OF THE UTERUS. 13? 

tending the bladder, this organ presses upon the fun- 
dus and carries it downward and backward, placing 
the round ligaments on the stretch; a daily persistence 
in this retention will soon cause relaxation of the 
elongated ligaments, and consequent retroversion. 
Females, in traveling, are especially liable to this ac- 
cident, from a neglect to empty the bladder; this 
organ becomes enlarged from being filled with long 
retained urine, when a loud laugh, a sneeze, a spring 
from a coach or a car, or any sudden jar,&c., will be 
sufficient to finish the mischief by retroverting the 
womb: and it is more certain to occur if the pelvis be 
large, and the woman be two months advanced in 
pregnancy. Eetroversion may come on suddenly but 
more frequently manifests itself by degrees. 

Symptoms. — There will be pains low down in the 
abdomen, and in the lumbo-sacral region, increased 
upon motion. The urine will be voided with difficulty, 
or not passed at all, there will be constipation, with 
tenesmus, and difficulty in defecating, Sometimes, 
the uiine can be passed without any trouble. The 
symptoms, in other respects, will very much resemble 
those of anteversion. 

A vaginal examination is always necessary; the 
fundus of the uterus will be found in the hollow of 
the sacrum, while the cervix will be toward the pu- 
bic arch, and sometimes above it; perhaps, pressing 
upon the urethra. 

KETEOFLEXION OF THE TJTEKTTS 

Is a bent condition of the womb upon its cervix, 



138 IlfFLAMMATIOlT OF THE OVARIES. 

similar to that of anteflexion, but differing from it in 
the uterine tumor being- found on the posterior face 
of the cervix, while no enlargement can be felt on its 
anterior face The fundus is bent over into the 
hollow of the sacrum, while the cervix and os uteri 
are nearly in the normal position. The same rules, 
with the above exception, may be adopted for its 
diagnosis, as named for anteversion. 

rNTIiAMMATION OF THE OVAEIES. 

The Ovaries are not so subject to attacks of disease 
as the uterus, probably owing to their peculiar 
structure, and freedom from exposure to morbid or 
irritating discharges, as well as from direct mechan- 
ical injuries. They are, however, liable to the same 
maladies as the tubes and womb, some of which are 
exceedingly rare. The more common affections of the 
ovaries only will be noticed. 

ACUTE INFLAMMATION OF THE OVAEIES. 

May occur in the unimpregnated state, but is more 
generally associated with inflammation of other or- 
gans of the pelvis, following an abortion or delivery. 
More commonly only one ovary is affected at the 
game time. Menstruation is usually suspended, if 
the attack occurs during the monthly period. The 
same causes which produce inflammation of the 
uterus, tubes, or peritoneum, may give rise to ovari- 
tis. The local and constitutional symptoms will be 
similar to those of inflammation of the tubes, unless 
there is an extension of the inflammation, when there 
will be additional corresponding symptoms, thus if 



CHROKIC INFLAMMATION OF THE OVAEIES. lo9 

the disease spreads to the bladder, there will be a fre- 
quent desire to pass water, with scalding and pain 
during urination; if it extends to the peritoneum the 
pain in the abdomen will be more severe, as well as 
the general symptoms; and there will be sometimes a 
painful bearing down sensation in the pelvis, with a 
desire to evacuate the rectum, almost amounting to 
a tenesmus. A vaginal examination will not throw 
any light upon the disease; but the finger introduced 
into the rectum can, generally, be readily carried to 
the side of the womb, where the ovary, if inflamed, 
will be felt swollen and more or less painful on pres- 
sure. 

Acute inflammation of the ovaries may terminate 
by resolution, or by suppuration; or it may extend to 
the neighboring perit(>neal tissue, and prove fatal; or 
it may result in chronic inflammation. Sometimes 
softening of the ovaries ensues. The prognosis in all 
ovarian diseases is unfavorable, from the fact that 
they generally remain undiscovered or unsuspected, 
until the favorable period of treatment has passed 
away. 

OHBONIO INPIiAMMATION OF THE OVAEIES 

May be the result of the acute form, or may appear 
independently of it. The symptoms are similar, but 
not so marked as in the acute form. There will be a 
dull pain in the affected part, which may be slightly 
increased by motioi^ The catamenia may be sus- 
pended or deficient, and the constitutional symptoms 
will hardly be observed, except when the disease is 



140 MEKSTRlTATIOlf. 

approaching an unfavorable termination. An exam- 
ination per rectum should always be made, the same 
as the acute form. The termination, as well as the 
pathological appearances, will be the same as those 
named in Acute Ovaritis. 

When either the acute or chronic form of Ovaritis 
is about to terminate in abcess, the formation of pus 
will be known by the rigors, the increased pain, heat, 
weight, swelling and throbbing of the parts, the 
the quickness and softness of the pulse, and the dim- 
inution of the constitutional suffering. The abcess 
commonly points at some spot in the iliac region, and 
the pus may escape spontaneously or by an artificial 
opening through the walls of the abdomen, or it may 
be discharged through the bladder, rectum or uterus. 
Sometimes it may be emptied into the peritoneal cav- 
ity, occasioning a speedy death; or, the subsequent 
discharge of matter into the cavity may be for a time 
prevented, by an adhesion taking place between the 
ovary and some of the adjacent parts. 

MKNSTBUATION. 

It is not intended in the present article to discuss 
the various theories of this important function of the 
human uterus, which have at various times prevailed. 
It will be sufficient to state generally that we consider 
the menstrual discharge to be the consequence of a 
peculiar periodical condition of the blood-vessels of 
the uterus, fitting it for impregnation. 

The functions of menstruation last, on the average 
for about thirty years of the life of a woman, begin- 



MEKSTEUAtlOK. 141 

ning at puberty, and ending somewhere between for- 
ty and fifty years of age, "unless interrupted by dis- 
ease, by pregnancy, or by suckling. During tbis large 
proportion of female life there is a great liability to 
derangements, of one form or another, in the men- 
strual process, and to which much importance is attri- 
buted; though from some remains of the old doctrine 
that the menses were the outlets of '^peccant hum- 
ors,'' more anxiety is generally expressed in cases of 
diminished or suspended discharge than in those 
where it is unnaturally profuse. 

For a very considerable period before puberty, of- 
ten two or three years, symptoms of the approaching 
important change in the system may be detected. It 
is not at all uncommon to meet at this age very ob- 
stinate disorders, such as headaches, epileptic fits, or 
cutaneous affections; and upon finding the usual 
plans of treatment fail, some medical men are in the 
habit of prophesying a cure when menstruation is es- 
tablished. 

If the young trees your orchard need pruning, so the 
young maiden at this time needs the attention of her 
mother, and if the symptoms alluded to continue, 
scientific medical advice should be obtained. It is 
not often necessary to use much medication, but the 
little needed is indispensable, if you wish the girl to 
become a healthy wife and mother. The mother, if 
a close observer, can state the case to me, or, when 
far from the city, write it out in plain detail. 

When the function of menstruation has been once 
fairly established, it may become disordered in seye- 



14'^ AMEIS-ORRHCEA. 

ral ways, each forming distinct classes of diseases. 
Menstruation may be faulty in respect to the quanti- 
ty of the discharge, the quality of the discharge, the 
regularity of its appearance, the time of its duration 
and the degree of pain with which the process is ac- 
companied. When the discharge has been in any way 
suppressed in a peculiar condition of health, what 
has been called yicarious menstruation has sometimes 
periodically occurred from other parts of the body, 
the stomach, the lungs, the bowels. The diseases 
connected with menstruation are Amenorrhcea, Dys- 
menorrhoea and Menorrhagia. 

AMENOEEHCEA. 

Amenorrhcea has usually been divided into reten- 
tion and suppression of the menses. Under this he.ad 
we shall also consider vicarious menstruation . 

1. — Emansio, or retention of the menses. The 
non-appearance of the menstrual discharge at the 
usual age does not, in itself, constitute a disease. The 
condition of the bodily development must chiefly be 
taken into consideration, for the age at which the 
ovarian functions are first manifested varies exceed- 
ingly. Instances of very precocious puberty are nu- 
merous; neither is it at all uncommon to meet with 
cases where the menstrual discharge does not occur 
till a very late period of life. 

We have met with young women of eighteen or 
twenty years, resembling children in conformation, 
with a weak and languid frame, a feeble circulation, 
attenuated, colorless, and of stinted growth. The 



DYSMENOEEHCEA, 143 

case is obviously one of constitutional debility, and 
as such, requires medical treatment. 

When at the usual age of puberty, a decided change 
in the system is observed, and a struggle is evidently 
taking place to bring about the sexual functions, al- 
though followed by no actual development, we may 
conclude that the defect is only in degree, and^that, 
by proper medical assistance. Nature will accomplish 
her object. But if from false modesty on the part of 
the young female, or the want of a proper regard for 
her situation, either from carelessness or ignorance 
on the part of the parents, the case be neglected, 
three chances out of four are that she will become 
the victim of consumption, and fill an early grave, 
and the fourth chance, all her life long have some or 
all of the menstrual derangements so common in the 
country. 

DTSMENOBBHCEA, PAINFUL OR DIFFICULT MENSTRUATION. 

This disease is important from its occasional ex- 
treme obstinacy, from the great suffering which it 
produces. In healthy menstruation there is often no 
warning whatever of the period; more generally there 
is some degree of discomfort, consisting of a sensa- 
tion of weight and fullness about the pelvis, with a 
bearing down and aching of the thighs, but usually 
the suffering is so slight as not call for medical aid; 
in Dysmenorrhoea, however, the menstrual period is 
accompained with such acute pain and suffering, 
and looked forward to with such apprehension, that 
the patient is eagerly inclined to seek for relief, and 



144 DYSMEEOEEHCEA. 

is but too often driTen from one remedy to anoth^*' 
with but trifling adyantage, 

The time at which the pain comes on varies in dif- 
ferent cases. In many the pain precedes the dis- 
charge, or else the discharge is exceedingly scanty as 
long as the pain lasts; but as the quantity increases 
to a full flow, a subsidence of the suffering takes 
place; in these cases the pain will last only a few 
hours. In other instances the discharge is more pro- 
fuse than natural during the whole continuance of 
the pain, is apparently exj)elled in gushes, and is 
then usually mixed with coagulated blood. In a few 
more rare cases the pain will only occur in the latter 
part of the menstrual period, accompanied either 
with a diminution or an increase of the flow, and 
ceasing only after every vestige of the discharge has 
passed off. 

All these varieties will be found in practice, and 
though in the histories of this disease some have of- 
ten been omitted, most authors have described the 
pain as occurring only at the onset, and ceasing when 
the full, and free evacuation takes place. 

The pain often resembles the grinding pains of the 
first stage of labor, and is similarly in paroxysms of 
short dura<tion and frequent occurrence. There is 
also, in the intervals, a constant aching pain down 
the legs, with a dragging sensation in the back and 
loins; there is sometimes, also, a sensation of bearing 
down in the pelvis, with even an actual lowering of 
the uterus. All these pains will vary in degree; for 
in some severe cases the paroxysms have been so vio- 



MENORRHAGIA. 145 

lent that the patient has rolled on the bed or the 
floor with agony, and, in a few instances, the writer 
of this article has noticed severe convulsions of the 
character of tetanus, even amounting to regular opiS" 
thotonos. 

It would appear that the immediate cause of this 
distressing disease is extreme irritability of the uterus; 
and as it is well known that great irritation is but a 
step removed from inflammation, it is very probable, 
that in some cases, where a membrane is expelled, in- 
flammation of a peculiar character may be excited. 
Hence the necessity of attending to this form of dis- 
ease, that you may avoid the more serious complica- 
tion of inflammation or ulceration of the womb- 

MENORRHAGIA. 

This term implies morbidly profuse menstruation. 
The term uterine hemmorrhage is so constantly lim- 
ited in practice to cases unconnected with menstrua 
tion, and occasioned by organic diseases, accidental 
injury, or the consequences of pregnancy in parturi- 
tion, that it is much more convenient to include un- 
der the title at the head of this article all those in- 
stances of the discharge of real blood from the uterus, 
which occur in connection with the menstrual func- 
tions. The cases, indeed, are very rare in which any 
strikingly profuse menstruation exists, without more 
or less real blood escaping at the same time. 

Menorrhagia is a disease occasionally of great ob- 
stinacy, and sometimes of alarming severity. It not 
only includes the immoderate quantity of discharge 



X46 MENOKRHAGIA, 

at each monthly period, the time remaining regular, 
but it is also understood to comprehend the too great 
frequency of the reccurrence of menstruation, even 
when the quantity lost is not unusually abundant; 
still the definition of '* morbidly profuse menstrua- 
tion" ought to be remembered, because to constitute 
the disease the quantity lost must be relative. In 
healthy menstruation the discharge takes place every 
twenty-eight days, lasts from two to four days, and 
the quantity lost upon an average is about five or six 
ounces. 

Menorrhagia may occur in very opposite states of 
the system, and has therefore been divided into ac- 
tive and passive; the former arising from too great 
activity in the vessels of the uterus, the latter from a 
want of tone in the secretive orifices. Either of these 
states may exist in a plethoric habit of body, or in 
one of great debility. After a long continuance of 
the disorder, the strongest and most plethoric frames 
are brought down to the state of weakness, and the 
active menorrhagia may thus become passive. In ac- 
tive menorrhagia, for a short time, sometimes for 
two or three days before the expected period, there 
is a sensation of unusual fullness about the pelvis, 
with throbbing referred to the situation of the uterus 
itself, along with sense of heat and weight; the ex- 
ternal parts of generation are often slightly swollen, 
and the mammm become hot, tumid and painful.The 
circulation is quickened, the mouth hot, the tongue 
dry with thirst, and there is a general feeling of op- 
pression, with headache and giddiness. After these 



MEN^ORRHAGIA. 147 

symptoms have lasted for a certain time, the function 
of menstruation begins; but the discharge comes on 
with violence, in gushes, and usually accompanied 
with pure blood, as proved by the presence of coagula. 
The progress is then variable; sometimes after the 
first few hours the patient feels relieved, lighter and 
cooler, and the rest of the period passes over more 
quietly and naturally; but in more aggravated cases, 
the flow still proceeds in equal or increased quantity, 
and lasts for several days, occasionally subdued, but 
again breaking forth on the slightest exertion, till at 
the end of the period the patient is left weak and 
languid, with a feeble pulse and pale countenance. 

The causes of Menorrhagia may be divided into the 
constitutional and accidental; but it often seems to 
require a combination of both to excite the disease. 
The active Menorrhagia is found to occur in plethor- 
ic habits, often apparently as a natural relief to the 
overloaded system, but aggravated or excited by lux- 
urious living, a sedentary and indolent life, hot 
rooms, and also by very violent exercise or any other 
fatiguing exertion. The passive monorrhagia, on the 
other hand, is caused by all those circumstances 
which lower the bodily powers, and weaken the action 
of the heart and arteries. But in both of these cases 
there are local causes which peculiarly tend to direct 
the mischief to the uterus, and increase the circula- 
tion in the vessels of that organ, leading to the in- 
creased discharge, whether that be the immediate ef- 
fect of excess of activity, or diminished power of re- 
tention; such as blows and falls, or any other local 



148 FALLING OF THE VAGIiq-A. 

violence; frequent and recent abortions, leucorrhoea, 
over indulgence in sexual intercourse, irritation in 
the bladder, diarrhoea, tenesmus, piles, ascarides of 
scybala, in the rectum. 

There is a frequent cause of Menorrhagia not much 
attended to, and not mentioned in systematic works 
on the subject, but the knowledge of which is highly 
necessary It has been often observed that the most 
obstinate forms of chronic Menorrhagia occur in per- 
sons who have an impeded or disordered circulation 
through the abdominal veins, particularly where 
there is organic or functional disorder of liver. We 
have no doubt that this is not at all an uncommon 
cause of obstinate Menorrhagia. 

The mother who would allow her daughter to be- 
come emaciated with Menorrhagia, a loss of all that 
glow of countenance, the sure indication of health, oc- 
casioned by this disease, rather than apply for medi- 
cal assistance, in nine cases out of ten, I will think, 
has never suffered in debilitating effects, or she would 
pity and relieve, if possible, the malady, whether ex- 
isting in her own child or any other, and the husband 
who would allow his wife to suffer from this com- 
plaint is not worthy, of her affections, and cannot 
long expect to have them or the wife either, for the 
blood is the life. 

PROLAPSUS, OR PAIiliING OF THE VAGINA. 

Prolapsus or Descent of the Vagina is met with 
more commonly among females after thirty or thirty 
five years of age, and who have given birth to several 



FALLING OF THE VAGINA. 149 

children; it is always accompanied with a relaxed 
condition of the vaginal walls. There are three va- 
rieties of vaginal prolapsus, known as, 1 — Prolapsus 
of the anterior vaginal wall; 2 — Prolapsus of the 
posterior vaginal wall; 3 — Prolapsus of the entire cir- 
cumference of the vagina, either complete or incom- 
plete. 

Cause. — These displacements are owing to a relax- 
ed condition of the walls of the vagina, which causes 
a change in the direction of the bladder and urethra, 
rendering urination more or less difficult; in conse- 
quence of the urine being thus incompletely evacuat- 
ed, it accumulates in and distends the bladder, the 
weight of which causes it to descend, carrying the 
relaxed vaginal wall before it. Every degree of pro- 
lapsus may be met with, from a mere protrusion of 
the anterior vaginal wall to its appearance as a tumor 
within the vaginal canal or even external to the vulva. 
Relaxation of the vagina may be occasioned by re- 
peated child-bearing, an abnormally large pelvis, 
heavy lifting, long-continued leucorrhoea, improper 
habit of retaining the urine too long before voiding 
it, improper use of warm hip baths, excessive coition, 
violent exertions, severe vomitings, tight lacing, &c. 

Sym/ptoms, — A sensation of dragging in the pelvic 
region, with a heaviness and bearing down is expe- 
rienced, together with difficulty in walking; the over 
distended condition of the bladder impairs its con- 
tractile power so that the urine passes with difficulty 
or cannot be discharged at all. Sometimes there is a 
stinging sensation felt along the urethra. Generally, 



150 INFLAMMATION OF THE VAaiNA. 

by pushing the bladder up toward its normal position, 
and holding it there, the urine will be more freely 
evacuated. But little pain is complained of. When 
the bladder extrudes it is liable to ulceration, injur- 
ies, &c. 

This affection is divided into three classes, but I 
have no space to amplify and the disease is of not 
very common occurrence. If uncomplicated, every 
case is amenable to treatment. 

ACUTE INFLAMMATION OF THE VAGINA 

Is frequently met with; but is less common among 
middle-aged females and the unmarried. 

Causes. — This malady may be occasioned by ex- 
posure to cold, mechanical violence, as excessive coi- 
tion, manual or instrumental operations during par- 
turition, stimulating vaginal injections, etc. It is 
often caused bj the introduction of haid substances 
into the vagina, especially for the purpose of mastur- 
bating; and may arise from any source that will irri- 
tate the mucous membrane of the vulva and vagina. 

Symptoms. — The vagina is affected with increased 
heat, and soreness, and becomes reddened, dry, 
swollen and painful, with troublesome itching at 
times, and in cases not attended to and cured, a sen- 
sation of dragging in the parts, and pain in the loins 
is likely to set in and continue; finally, discharges 
set in almost like venereal gonorrhoea, and in many 
cases impart that disease to the husband. No doubt 
many a woman has been slandered by incompetent 
physicians who, though unable to effect a cure, by 



LEUCORRHCEA. 151 

sly words leave the husband or friends to doubt the 
chastity of the patient, which I consider a poor excuse 
for incompetency. 

liEUOORBHCEA OR WHITES. 

By the term Leucorrhoea, Flour-albus, or Whites, 
are meant a whitish or colorless discharge from the 
vagina, being the result of an unhealthy condition of 
the vagina, the womb, or both combined. It is a very 
common malady among women, but few passing 
through life without having one or more attacks of it. 

Symptoms. — The leucorrhoeal discharge is more or 
less profuse, and varies much, both in quantity and 
color; in mild cases it is whitish, in others, it is of a 
brownish or greenish hue, and frequently so acrid as 
to excoriate the external parts. When the discharge is 
abundant, or of long standing, it occasions much de- 
bility, with a sense of pain and weight in the back 
and loins, pain in the stomach, colic, impaire I or de- 
praved appetite, acid stomach, headache, paleness of 
the countenance, hollowness of the eyes, chilliness, 
palpitation of the heart and great mental depression. 
If no beneficial measures be pursued, the constitution 
soon becomes impaired and exhausted, emaciation 
ensues, the flesh becomes loose., the pulse small and 
frequent, the breasts soft, the breath fetid, the eye- 
lids bloated, hysterics are common, and the feet and 
ankles swell, and constantly cold. The menstrual 
discharge frequently becomes diminished or suppress- 
ed, obstinate constipation is a common symptom and 
the urine is generally turbid, flocculent, and scanty. 



152 LEUCOHRHCfiA. 

Dropsical swelling of the whole body is often present. 

Leucorrhoea is divided into two varieties, the mu- 
cous and the purulent; of the mucous, there are two 
forms, characterized by the properties of the dis- 
charge, and the part from which it is secreted. 

When the mucous discharge is from the neck of 
the womb, or its canal, it is a transparent, glairy 
fluid, of the consistency of the white of egg, has an 
alkaline reaction, changing reddened litmus paper to 
its original blue, communicates no stain, but only a 
starchy hardness to linen upon which it has been al- 
lowed to dry, has such a slimy, ropy, and tenacious 
consistence, that it is with great difficulty it can be 
removed from the neck of the womb; and examined 
under the microscope, is found to contain a large 
number of mucous-corpuscles. This is a common 
and most obstinate form of leucorrhoea. 

When the mucous discharge is from the vagina, it 
is of an opaque, whitish character, of the consistence 
of cream, has an acid reaction, changing blue litmus 
paper to red, communicates a stiffness to linen upon 
which it has dried, leaving a greyish spot, deepest at 
its edges, is never ropy, and under the microscope 
exhibits a large number of ej)ithelial scales. This 
form is frequently accompanied with a relax condition 
of the vagina, and troublesome itching of the parts. 

When leucorrhoeal discharge is of a purulent char- 
acter, it is colored greenish, or any intermediate 
shade between a light yellow and dark brown, leaves 
deep stains on linen, which are removed with diffi- 
culty by washing, and exhibits under the microscope 



LEUCOREHCEA. 16S 

* 

a large number of pus globules. Most generally this 
discharge issues from an excoriated or ulcerated sur- 
face on some part of the neck of the womb, occasion- 
ally it proceeds from the vagina. This, however, may 
be determined by its acidity or alkalinity. Women 
laboring under this form of leucorrhaea are very 
subject to abortions, 

Leucorrhoea sometimes becomes of so acrid and ir- 
itating a character as to communicate a disease very 
closely resembling gonorrhoea. And the determina- 
tion of this matter, upon which the happiness of a 
family depends, is attended with much difficulty. 
Great care must be taken by the physician in pro- 
nouncing positively in cases of this kind, as a mis- 
taken diagnosis will be a source of much misery and 
mortification. 

Causes, — Leucorrhoea arises from many causes, the 
most common among which is excessive coition; and 
on this account a woman wedded to a sensual animal 
husband, whose only consideration for his wife is to 
compel her to gratify his selfish passion, without re- 
gard to her health, is much to be pitied, as she is 
constantly liable not only to the present disease, but 
to every malady which may afflict her sex. And to 
this cause, is, no doubt, attributable by far the great- 
er number of those diseases so common at the present 
day among women in all sections of the country. 
Other causes, however, may produce leucorrhoea, as a 
rapid succession of children, colds, dampness, diffi- 
cult deliveries, masturbation, abuse of warm baths, 
purgatives, or emmenagogues, prolonged suckling, 



154 ABORTIOlT. 

irritation of the rectum by thread- worms, relaxation 
of the system by too much warmth, abortions, me- 
chanical injury by pessaries, secondary syphilis of 
the husband, sedentary life, sudden mental or physi- 
cal shocks, excessive menstruation, &c. 

When the leucorrhoeal discharge is considerable, 
and continues throughout the greater part of the 
menstrual interval, it is generally occasioned by 
chronic inflammation in the uterine region, and very 
frequently the neck of the womb is the seat of the 
inflammation. It is to this fact that the intractibil- 
ity of leucorrhcea is attributable. When the ordinary 
means for the cure of this complaint have been em- 
ployed for a length of time without giving permanent 
relief, there is ample reason for suspecting that the 
medical attendant does not thoroughly understand 
the case, that he has failed to recognize the fact that 
the leucorrhcea is but a symptom of that serious 
trouble, inflammation, with, perhaps, ulceration of 
the neck of the womb. It is almost of daily occur- 
rence for persons to apply to me for treatment for 
what their physicians have termed a simple leucorr- 
hcea, and find, upon examination, that they have ex- 
tensive ulceration of the womb. 

ABOKTION, OB MISOABRIAGE. 

Abortion may be owing to attacks of epilepsy, hys- 
teria, dysentery, to acute attacks, as scarlet fever, 
small pox, &c. Females whose systems are tainted 
with syphilitic disease, or scrofula, or who labor un- 
der excessive leucorrhcea, are apt to abort; tumors in 



ABORTIOK. 156 

the pelvis or other abnormal formations, displace- 
ments of the womb, ulceration of the neck of the 
womb, rheumatic affection of the womb, etc., are all 
causes of abortion. Disease of the foetus is a com- 
mon cause, being generally received from the parent, 
as syphilis, small pox, &c. Vaccination during preg- 
nancy will often occasion a miscarriage; and it is 
dangerous to vaccinate a woman who has recently 
been delivered. Accidents always give rise to abor- 
tion, as powerful exercise, heavy lifting, blows, 
bruises, severe jars, long-continued and violent danc- 
ing, rough riding, excessive coition, &c. In many 
instances it is produced by long-continued suckling 
of a child, and also by the means frequently em- 
ployed for the purpose. Females of full habit and 
voluptuous are very apt to abort. When the motions 
of the foetus cease, the morning sickness disappears, 
and the breasts become soft and flaccid, it is an indica- 
tion of the death of the child, and abortion will cer- 
tainly come on; the same will happen when the 
waters have been evacuated. 

Symptoms. — These depend considerably upon the 
causes, and the time of pregnancy. Thus, for the 
first ten or twenty days after conception, there may 
be hardly any pain, but little blood so that the fe- 
male will be more disposed to look upon it as a men- 
strual derangement instead of an abortion. But in 
the latter periods of pregnancy, and especially af- 
ter the third month, various symptoms may usher in 
the abortion; there will be more or less febrile symp- 
toms, nervous excitability, deranged appetite, cold- 



166 DISEASES OF PBEGlfANOy, 

ness of the feet and legs, a purplish discoloration of 
the skin around the eyelids, which are more or less 
puffed up, shooting pains are frequently felt in the 
breasts, which become soft and lose their elasticity, 
lowness of spirits, a feeling of pressure or bearing 
down in the lower part of the bowels, frequent calls 
to CYacuate the bowels or the bladder, and slight 
pains in the back, which come on at intervals, grad- 
ually increasing in severity extending in front, and 
eventually becoming severe and expulsive, or true 
labor pains. As the pains advance, a discharge of a 
bloody character ensues, becoming more profuse as 
the abortion progresses; finally the bag of water is 
broken and the foetus is expelled; occasionally it 
comes away entire, being surrounded by a bag of 
waters. It is often the case that the first indication 
of an abortion is the flooding, followed by pains, ab- 
sence of motion in the child, and its ultimate expul- 
sion. 

Now if when a woman seems likely to abort, prop- 
er care be taken, and scientific medical advice be pro- 
cured, much evil, disease, and the unhappiness of 
families might be prevented. But if abortion has ac- 
tually taken place, or is inevitable, the very best of 
medical aid is required to render life certain, the 
health good, and as a matter of consequence, the 
after years of life pleasant and happy. 

DISEASES OF PKEGNANCY. 

There are certain symptoms common to the preg- 
nant female, which are peculiar to this condition. 



DISEASES OF PBEGKANCY. 16t 

and are in fact indications of the healthy act of con- 
ception, and should not, as a general rule, be inter- 
fered with. In some cases, however, they become so 
much increased in severity or protracted in duration, 
that they may be termed the '^disease of pregnancy," 
and will require treatment to remedy them. 

Females, when pregnant, should never compress 
any part of the body or limbs, with belts, corsets, 
&c., as this may not only give rise to abortions, en- 
larged veins in the legs, and other difficulties, but 
will likewise tend to produce dropsy of the head, or 
deformity of the child, as well as positions of the in- 
fant in the womb, known as cross-births, breech-la- 
bors, &c., which render instruments necessary to 
bring the child into the world, and may prove fatal 
to mother and offspring. The diet also requires par- 
ticular attention, using light and nutritious food,and 
avoiding all alcoholic drinks, fatty, acidulous, and 
indigestible food. Gentle exercise daily, out of doors, 
is very important during the first months of preg- 
nancy; fresh, pure air, with bathings of the whole 
body once or twice every week, cannot be too highly 
recommended. 

The following are among some of the most com- 
mon diseases of pregnancy: Vomiting, diarrhoea, 
cramps and heartburn; constipation, which should 
always be avoided if possible, is a common and an- 
noying symptom during pregnancy; headache, con- 
vulsions during pregnancy, are generally of an 
hysterical nature; cough, (j^Edematous swelling of 
the limbs, piles are common during pregnancy, and 



158 CHLOROSIS. 

are more apt to be present when the bowels are cos- 
tive; though they are sometimes met with during an 
attack of diarrhoea. Pain in the right side is occas- 
ioned by the enlarged womb pressing against the 
liver; itching of the genitals, or eruption of the parts 
with excessive itching; suppression of the urine; as 
well as difficulty in urinating. 

All or any of these symptoms can be relieved or 
entirely cured if medical assistance can be had re- 
course to of a scientific character; and thereby not 
only make life pleasant, but influence the offspring 
at a time when, of all others, it is under the influence 
of the mother. 

A plain statement by letter is quite sufficient to 
enable me to prescribe by mail or express. 

CHIiOBOSIS. 

Chlorosis, or G-reen Sickness, is a disease common 
to females, especially at the age of puberty, and is 
very apt to be associated with a retention of the 
menses, though this may, and often does occur, with- 
out any chlorotic tendency. 

Symptoms, — Chlorosis is characterized by a state 
of melancholy and disposition to inactivity, the fe- 
male becomes silent and gloomy, frequently sighing 
involuntarily, or shedding tears without cause; the 
countenance becomes pale, or a greenish tint and 
bloated, the eyes languid and the eye-lids swollen, with 
a dark areola around them, especially in the morning; 
the skin is dry and cool, and has a flabby or a doughy 
feel; the pulse is frequently and easily suppressed. 



CHLOROSIS. 159 

the breathing is hurried or laborious; the digestive 
functions deranged; the bowels costive or irregular; 
the stools sometimes become white and hard, and oth- 
er times fluid, the sleep is disturbed, and the dreams 
unpleasant; the intellect becomes dull, and the mind 
is occupied with fanciful notions or projects; head- 
ache is usually present; ringing in the ears; the face 
cold; the nostrils dry; neuralgic pains, and palpita- 
tions in the neighborhood of the heart and stomach. 

The tongue is generally coated, white, and acid re- 
gurgitation takes place frequently, with nausea, es- 
pecially in the morning. There is often an accom- 
panying cough of an irritable and distressing nature, 
leading the friends to suppose that the patient is la- 
laboring under consumption. Sometimes dropsical 
swellings occur in various parts of the body, or the 
patient may be attacked with St, Vitus' dance, hys- 
terics, or epilepsy. Leucorrhoea is generally present, 
with a re tension or suppression of the menstrual dis- 
charge; or if any fluid escapes monthly, it contains 
but little coloring matter, and less fibrin than usual. 

All the above symptons will not be present in any 
one patient, but a great proportion of them will; and 
they will vary in their character according to the 
circumstances attending each case. 

Causes. — The causes of chlorosis are various and 
numerous. It may be owing to indigestion, to 
living in low, damp and cold situations, secluded from 
the rays of the sun, bad food, late hours, excessive 
use of vinegar, green fruit, and all crude articles, in- 
dulgence in warm drinks, want of exercise, and a 



160 SELF-ABUSE OF FEMALES. 

sedentary, lazy and voluptuous mode of life. Females 
of a rapid and premature growth, those of a weak, 
delicate constitution, of a scrofulous habit, or of a 
nervous temperament, are more especially liable to it. 

Many young females produce this disease by a vio- 
lation of the moral and physical laws of Nature. Such 
females labor under a great depression of mind; are 
often affected with some menstrual derangement, &c. , 
and become almost unfit for society. 

Ladies thus afflicted suffer long and severely, be- 
cause of a false delicacy in not seeking early the ad- 
vice and counsel of a scientific and skilful physician, 
whose sympathies and kindness, in addition to his 
skill, might soon restore them to their wonted health 
and vigor. 

SEIiF-ABUSE OF FEMALES. 

Mrs. Gove, in her Lecture to Ladies on Anatomy 
and Physiology — subjects which every woman should 
understand — thus discourses concerning its preval- 
ence among her sex: 

* 'About eight years since, my mind was awakened 
to examine this subject by the perusal of a medical 
work that described the effects of this vice when 
practiced by females. This was the first intimation 
I had that the vice existed among our sex. Since 
that time I had much evidence that it is fearfully 
common among them. 

'^There is reason to believe that, in nine cases out 
of ten, those unhappy females who are tenants of 
houses of ill-fame^ have been victims of this vice in 



EFFECTS OF MASTURBaTIOK, 161 

the first place. Were this the peculiar vice of the 
low and vulgar, there might be more excuse for the 
apathy and false delicacy that pervades the communi- 
ty respecting it. But it invades all ranks. Profess- 
ed Christians are among its victims. ^^Our boarding 
and day schools are sources of untold mischief. A 
short time since, two sisters, ladies of the first re- 
spectability, informed me that, when very young, 
they were put to a female boarding-school, where this 
vice prevailed, and the practice was explained to 
them. They were blessed with parents who were 
willing to converse with and warn their children, and 
they escaped the contamination." 

One of her correspondents writes that she ^'became 
addicted to solitary vice about the age of nine years." 
* 'Facts and important information to young women, 
etc.," a work which we recommend cordially, details 
many instances illustrative of the prevalence of this 
vice. 

EFFECTS AND CONSEQUENCES OF MASTURBATION ON FEMALES. 

In girls and womeii the consequences of solitary 
vice are somewhat different "from what they are in 
men. The object of the habit is the same in girls as 
in boys, viz: sexual excitement; but there is this ;if- 
ference, that girls do not weaken themselves by rhc 
constant loss of Spermatic fluid, but by the excessive 
exaltation of the nervous system. Excessive prostra- 
tion of the nervous energy, and general debility, is 
therefore, the effect of masturbation in young females. 
The cerebellum, or little brain situated on the back 



162 EFFECTS OF MASTUKBATIOJST. 

part of the head, is acknowledged to be the seat of 
Amativeness, and this organ has also been proved^bj 
the best pathologists, to be the seat of Epilepsy in 
tt jnajority of cases. The sexual organs, as we have 
already remarked, being highly supplied with nerves, 
which are endowed with the keenest sensibility, and 
which connect in a wonderful and mysterious manner 
through the medium of other nerves in the spinal 
column, carrying their direct effect to the cerebellum 
and brain, the seat of the soul, it will be readily uq- 
derstood why girls are much more subject to Epilepsy 
St, Vitus' Dance, (Chorea,) Vertigo, excessive head- 
ache, sadness, suUenness, depression of spirits, idiocy 
and insanity. Instead of the local organs in the height 
of the excitement and pleasure from this habit, pour- 
ing out a functional secretion, leaving the longings 
of the mind and desire somewhat satisfied, as in the 
male, it does not obtain to produce this effect in the 
female, but the pleasurable excitement being con- 
tinued into a perfect moral orgasm, the cerebellum, 
the brain, and the whole nervous system receives a 
shock, which in thousands of instances is sufficient 
to result in madness, mania, the loss of self- control, 
or all shame, even to the exposure of the naked per- 
son. These results are not the first effects, only in 
a milder degree, but as the habit becomes formed, 
the victim gives herself up more and more, and 
oftener and oftener, to indulgences that sooner or 
later develop one or more of these effects and sad re- 
sults. 



EFFECTS OF MASTURBATION. 163 

During twenty years practice, we have been con- 
sulted in over one thousand cases of Epilepsy, St. 
Vitus' Dance, 'N'euralgia, Nervous Spasms, Hysteria, 
Cramp, Fits, and the catalogue of this class of disor- 
ders, and in every case were they traceable to this 
vice. 

But again, the membranes lining the vagina and 
the female genital organs, are supplied with glands 
and tissues for the special office of secreting a healthy 
mucous to keep the parts properly lubricated, the 
same as in the mouth, pertaining to the salivary 
glands. The continued irritation and excitement 
kept up by the female upon these membranes and 
parts by the habit, cause an excessive morbid secre- 
tion to be poured out from the vagina, which dis- 
charges itself over the labia and thighs, excoriating 
them, generating humors and eruptions, and in many 
cases an intolerable itching, causing hysteria, and 
morbid excitement of the passions. 

The face and complexion shows most evidently the 
effects of this ^ice; red blotches and pimples appear, 
the countenance often becoming yellow and discol- 
ored. 

Despondency of spirits, moreover, intolerable grief, 
alternated by violent fits of uncontrollable laughter; 
sullenness, madness and insanity, ore the result in 
long continued and more aggravated cases, in females 
possessing peculiar temperaments. 

In our prescriptions and treatment for Lung dis- 
eases we always consider it an imperative duty to ac- 
quaint our patients with all the causes, and emphat- 



164 KETENTION OF THE MEl^-SES. 

ically give them to understand that, without cutting 
ofi and avoiding all causes, the baneful effects cannot 
be got rid of, — health cannot be restored; consequent- 
ly we have been able to reach and save many that 
were surrounded by the twilight of the grave. We 
conscientiously advise mothers having daughters man- 
ifesting any of the above symptoms we have describ- 
ed, to seek our advice before too late. An earnest ex- 
postulation made to their reason, with an array of as- 
tounding cases and practical facts, will often arouse 
a gleam of reflection and moral decision, without 
which a fatal termination would be the result. 

EETENSION OP THE MEXSES. 

The non-appearence of the monthly evacuation at 
the natural period, is called retension of the menses, 
and is generally followed in time by serious conse- 
quences to health. From various causes, the menses 
are liable to become obstructed at a period when they 
ought to appear; and unless nature is assisted, the con- 
stitution becomes so impaired as to induce consump- 
tion, or some other fatal disease. 

The cause of this disease seems to be a want of pow- 
er in the system, arising from inability to propel 
the blood into the uterine vessels with sufficient 
force to open their extremities, and allow a discharge 
of blood from them. The more remote cause seems 
to be suppressed perspiration occasioned by leading an 
inactive and sedentary life. We have noticed of late 
that a large proportion of females troubled with this 
complaint, are those engaged in factories; and we are 



EETENTIOls" OF THE MEN'SES. 165 

satisfied that persons thus confined, year after year, 
deprived as they must be of fresh air, and kept con- 
stantly in a constrained position, inflict a lasting 
evil upon their constitutions. 

Among the symptoms which characterize this dis- 
ease are debility, great disorder of the stomach and 
bowels, sallow countenance, pains in the back and 
loins, swelling of the ankles at night, and face in the 
morning, palpitation of the heart, hurried or labori- 
ous breathing, disturbed sleep, colorless urine, de- 
rangement of the nervous system, and often harass- 
ing cough. The skin is pale and cold, and some- 
times of a greenish hue, which has given the disease 
the name of the green sickness. 

In regard to treatment of this complaint, it is evi- 
dent that as it proceeds from debility, the great ob- 
ject to be fulfilled is to give tone and energy to the 
system . The patient should keep her feet warm and 
dry, and avoid all exposure to a cold or damp atmos- 
phere, especially the night air. If the weather is 
mild, exercise in the open air will be beneficial. 

The skin should be rubbed night and morning with 
a coarse towel, or flesh brush, till it is in a glow. 

The food should be light and nourishing, avoiding 
the use of tea and coffee, fat meat, and all oily sub- 
stances. Seashore bathing, change of air, &c., will 
do more than any other course to establish the health 
of the patient. Herb tea, such as motherwort, 
pennyroyal, &c., in connection with the female 
periodical pill. 



166 SUPPEESSIOl^- OF THE MENSES. 

SUPPRESSION OF THE MENSES. 

Aside from pregnancy, the menses are frequently 
interrupted by exposure to cold, mental agitation, 
and a variety of other causes which derange the 
health. The discharge is sometimes suddenly check- 
ed by remaining in a damp place till the body is chill- 
ed, and in that case there is usually headache, a dry 
cough, hot skin, thirst, tenderness in the region of the 
womb, and pains of the back and lower extremities. 
Sometimes the patient is attacked with shiverings. If 
the suppression continues beyond two or three periods 
the health becomes more or less impaired, as in re- 
tention of the menses; and hemorrhage from the 
lungs, or some other organ is liable to occur. 

Our prognostic in this disease is to be directed by 
the cause which gives rise to it, the length of time 
it has continued, and the state of the person's health 
in other respects. When suddenly suppressed in con- 
sequence of cold, it may easily be restored by pursu- 
ing proper means; but where the suppression has 
been of long standing, and leucorrhoea attends, we 
ought always to consider such circumstances as un- 
favorable. 

In those cases we have treated which terminated 
fatally, in consequence of the long continuance of the 
disease, the same morbid changes in the ovaries and 
uterus are to be observed on dissection, as in those of 
retention of the menses. In this complaint the pa- 
tient should be fully apprised of the connection be- 
tween the suppression and pregnancy. 



GONORRHCEA. 167 

In the treatment of this disease, if the suppression 
is owing to a sudden cold, a cure may be effected by 
a free use of warm herb teas, until perspiration en- 
sues; and if the patient is in bed, a heated stone, 
wrapped in damp cloth, may be placed at her feet. 
If she perspires with difficulty, an injection should 
be administered, followed by the vapor bath, and if 
necessary, an emetic to cleanse the stomach. If the 
disease is obstinate and of long standing, the treat- 
ment directed for retention of the menses will be 
equally applicable in this, viz: Female Periodical 
Pills, which are the result of the combined knowledge 
and experience of some of the oldest and most distin- 
guished physicians. To eulogize their virtues would 
not add to their merits. We will only say try them, 
and if they do not prove to be what they are repre- 
sented, your money shall be refunded. 

Price, Five Dollars per box. They can be trans- 
mitted by Express to any part of the Union, 

VENEREAIj diseases — GONOREHCEA. 

Gonorrhoea is an inflammation of the urethra in the 
male, and of the vagina in the female, attended by a 
whitish or yellowish discharge. The disease may arise 
from leucorrhoea in the female, or other exciting 
agents; but, as a rule, it is contracted in intercourse 
with a person similarly affected. 

An average case of gonorrhoea, if not cut short by 
treatment, presents four stages, viz: 

The first or initiatory stage, which lasts from twen- 
ty-four hours to a couple of days, and consists in a slight 



168 GLEET. 

tickling, or tingling, at the orifice of the urethra and 
the flow of a small quantity of thin, transparent mu- 
cous or milklike discharge. 

Secondly, to this succeeds the inflammatory stage, 
in which the lips of the urethra become red and 
swollen, the discharge becomes copious, yellow, or 
greenish; the act of micturition is attended with pain 
and scalding. During this stage, also, the most dis- 
tressing of the complications of the disease are apt to 
occur, such as irritation of the bladder, inflammation 
of the testicle and of the prostate gland. 

The third stage, viz: that of subacute inflammation 
follows the subsidence of the foregoing acute symp- 
toms. It is marked by slight irritation in making 
water, and the continuance of a discharge of yellow 
matter. This stage is apt to be protracted, and to re- 
sult in the fourth stage, or 

GLEET. 

Gleet consists in the continuance, after all inflam- 
matory symptoms of gonorrhoea have subsided, of a 
discharge from the urethra of a fluid varying in color 
and consistency — being one case simply mucous, in 
another purulent. The quantity is generally small, 
often not more than a few drops in the course of 
twenty-four hours, whilst at times it ceases entirely 
for days together, returning without assignable 
causes, or in consequence of some excitement in the 
way of diet or exercise. Though most commonly the 
result of an acute attack of gonorrhoea, mild cases of 
that disease, also, not unfrequently, run on and as- 



OLEET, 169 

sume the true character of gleet. The disease is often 
maintained by a state of debility, or by a strumous 
rheumatic or gouty diathesis. That general debility 
is a fruitful source of the persistence of gleet, is evi- 
dent from the frequency of this disease in persons of 
broken-down constitution. Again, gleet is peculiarly 
frequent and obstinate in persons of a strumous dia- 
thesis, who are subject to inflammation of the mu- 
cous membrane, and, under such circumstances, is 
benefitted by anti-strumous remedies. The influence 
of rheumatism and gout in the production of dis- 
charges from the urethra is notorious. 

The sources in the discharge of gleet are various. 
In some cases it issues from the lacuna magna, situ- 
ated a short distance up the urethra. When that is 
the case, a drop of the discharge may almost at any 
moment be obtained — provided the patient has not 
recently passed water — by squeezing the end of the 
penis. In other cases it may proceed from chronic 
relaxation of the membrane higher up the passage 
towards the bladder, or from the prostate gland, or 
more commonly still, from a stricture. 

In many cases of gleet the discharge is the only 
symptom. There is an entire absence of pain in the 
part, of redness and tumefaction of the lips of the 
meatus, and of scalding in passing water. In some 
instances, however, the patient experiences a feeling 
of uneasiness in the penis, or perinaeum or an itching 
about the glans or in the deeper portion of the ure- 
thra, which may be constant or attendant only upon 
the passage of the urine. Again, at the first act of 



170 GONORRHCEA IN WOMEN. 

micturition in the morning, the obstruction offered 
to the exit of the urine by the matter that has dried 
around the meatus and glued its lips together, often 
gives rise to a forcible distention of the canal, and a 
sharp momentary pain which may be avoided by pre- 
viously separating the lips of the orifice . The symp- 
toms of gleet no^ described are liable to be aggravat- 
ed by any cause which produces urethral or vesical 
irritation. 

Some physicians are in doubt as to whether the 
discharge present in gleet possess any contagious 
properties. My experience teaches me that it is con- 
tagious, in the great majority of cases, and certainly 
no one is Justified in having connection with a female 
while a vestige of the discharge remains. 

GONOERHCEA IN WOMEN. 

The urethra is much shorter and more capacious 
in females than in the other sex, and hence the in- 
flammatory symptoms are less violent, although the 
disease is sometimes of longer duration, extends to the 
external genitalsand the vagina,thus affecting a much 
greater surface than in man. When these parts are 
acutely iaflamed, sexual intercourse is performed with 
more or less pain and difficulty, and sometimes be- 
comes intolerable, but when the disease is chronic, 
there is no inconvenience. 

The discharge is very abundant, and sometimes 
comes in contact with the extremity of the rectum, 
which it inflames, when the mucous membrane of 
this part affords a whitish or purulent secretion. It 



GONOKRHCEA IN WOMEiq-. 171 

the mucous lining of the rectum is inflamed, there 
will be heat and pain in the part, which are greatly 
aggravated on evacuating the bowels, and the stools 
will be mixed with mucous or yellow matter, and 
sometimes with blood. 

When this disease occurs during pregnancy, it is 
absolutely necessary that it be cured before parturi- 
tion, as the matter discharged m coming in contact 
with the eyes of an infant in passing into the world, 
may cause a violent purulent opthalmia. We might 
narrate the histories of numerous cases in which the 
vision of the new-born infant was destroyed by opa- 
cities of the cornea, induced by the gonorrhoeal dis- 
charge of the parent. It is, however, fortunate that 
many such cases admit of cure. 

The medical treatment of both sexes is constitu- 
tionally alike; but the female has to depend more 
upon local treatment than the male. Frequent 
ablution, rest, temperate diet, the more farinaceous 
and mucilaginous the better, avoiding entirely wines, 
fermented and spirituous liquors, together with mild 
aperients and salines, constitute the chief means of 
cure, together with our Ricord's complete cure for 
Gonorrhoea, of which we make mention in another 
part of this work. 

We have already alluded to the difficulty of getting 
female patients to be their own confessors. If they 
appoint others, every possible information should be 
furnished, and fastidiousness by no means should 
supplant the avowal of real facts. 

The urethral and vaginal discharge is so acrid in 



1112 IKFLAMMATION OF THE PROSTATE. 

some cases, as to excoriate the labia, and to give rise 
to excresences, vegetations and warts, which may be 
succeeded by ulceration or sloughing of the affected 
part. 

INTIiAMMATION OF THE PROSTATE GIiAND. 

This, though not so frequent a complication of gon- 
orrhoea as the foregoing, is a troublesome and painful 
complaint. It is seldom seen except in attendance 
upon those acute and obstinate cases which occur in 
scrofulous and irritable constitutions. The inflam- 
mation in these cases, commencing at the orifice, 
speedily runs up the passage to the bladder, involving 
the prostate in its course. 

The symptoms of this affection are a heavy aching 
in the perineum, extending often to the rectum, and 
causing an ineffectual urging to relieve the bowel. 
Pressure over the prostate is intolerable, and the pa- 
tient is unable to sit. The gland swells, and may be 
examined per anum, and felt also externally. 

IRRITATION OF THE BLADDER. 

This is common, and at times, a very distressing 
accompaniment of gonorrhoea. Few acute cases are 
are free from it. It commonly comes on early in the 
disease, being coincidental with the most inflamma- 
tory stage of the attack. Its leading symptom is a 
painful, and, in some cases, an almost incessant urg- 
ing to pass water; and the suffering is often the 
greatest the moment after the bladder has been emp- 
tied. The urine is generally loaded with mucous, 
and, in some cases, is intermixed with blood. 



TKFLAMMATIOK OF THE BLADDER. 173 

INFLAMMATION OF THE BLADDEB. 

Inflammation of the bladder, or Cystitis, is usually- 
caused by injuries, irritating diuretics, injections, or 
diseasesof adjacent viscera or is the result of gonorrhoea, 
occurring as a consequence of the extension of the 
inflammation along the continuous mucous surface 
common to the urethra and bladder; but it may be 
produced by any cause that occasions irritation. It 
has also been attributed in rare instances, to the 
gonorrhoeal discharge finding its way, or being forced 
into the bladder, and there lighting up inflammation 
similar to that affecting the ur ethral walls. All those 
causes which aggravate the urethritis may concur in 
exciting cystitis, among which may be mentioned 
sexual intercourse, indulgence in alcoholic stimulants 
including malt liquors, fatigue, and the use of highly 
irritant injections. Cystitis never occurs at the com- 
mencement of an attack of gonorrhoea, but usually 
toward its decline, after the disease has had time to 
invade the deeper portions of the urethra. 

Cystitis is almost always confined to the neck of the 
bladder. The first symptoms that attract the atten- 
tion of the patient are a frequent desire to pass his 
urine, and feeling of heaviness in the perinaeum, 
which is frequently accompanied by a tickling or 
itching sensation at the extremity of the penis. The 
urine is high colored, and deposits upon standing a 
more or less copious, stringy, and whitish sediment, 
composed chiefly of pus and mucus; and the urethral 
discharge usually becomes more free and purulent. 



174 SWELLED TESTICLES. 

In acute oases the f?ymptoms are much more severe; 
there is a decided pain in the perineum and across 
the hypogastric region, radiating to the head of the 
penis, the testicles, and the groins; the desire to 
micturate recurs every few minutes, when only a very 
small quantity of dark-colored urine can with dif- 
ficulty and pain he evacuated, followed sometimes by 
a few drops of pure blood, and usually by most dis- 
tressing tenesmus at the vesicle neck, which the pa- 
tient endeavors to relieve by pressing with one hand 
upon the perineum, while with the other he pinches 
the extremity of the penis. In such cases there is 
usually some degree of febrile disturbance, indicated 
by a frequent pulse, loss of appetite, anxiety of coun- 
tenance, general depression, and intense thirst. Re- 
tention of the urine is rare in gonorrhoeal cystitis; 
but it occasionally occurs as a consequence of the loss 
of contractility in the vesicle walls, and the distended 
bladder can then be felt above the pubes. 

SWEIiliED TESTICLES. 

The most frequent complication of gonorrhoea is 
an affection of the scrotal organs, known by the name 
of swelled testicle or orchitis. 

In the early stages of urethral gonorrhoea the in- 
flammation is generally confined to the neighborhood 
of the fossa navicularis. At a later period, however, 
the deeper portions of the canal are involved, and the 
disease thus gains access to the ejaculatory duct, and, 
under the influence of any exciting cause, may extend 
along the spermatic canal to the epididymus, or even 



SWELLED TESTICLES. 176 

beyond this, to the testicle and the tissues which en • 
velop it. The patient's own sensations will sometimes 
indicate that in this mode has originated the affection 
of the testicle. He has felt a dull pain in the peri- 
naeum and in the groin, along the course of the sper- 
matic vessels, for a day or two before he observed the 
tenderness and swelling of the testis. Again, we may 
find additional evidence in the fact that the cord cor- 
responding to the inflamed testicle can be felt exter- 
nally to be swollen and hard, and can be traced from 
the testicle through the inguinal canal, even to the 
iliac fossa. Post-mortem examinations also, ha^e ex- 
hibited ordinary appearances of inflammatory action 
through the whole of the canal connecting the testicle 
and urethra. There can be but little doubt, therefore, 
that in many and probably in most cases, swelled tes- 
ticle owes its origin to the extension of the inflam- 
mation along a continuous mucous surface. 

In some cases of swelled testicle, after the more 
acute symptoms have subsided, the parts still remain 
engorged, and the disease shows a tendency to become 
chronic. This is most likely to occur in patients of a 
weak habit, and while this condition lasts the least 
exciting cause may induce a return of the acute in- 
flammation. 

Most cases of swelled testicle, if appropriately 
treated, terminate favorably. In some rare instances, 
abcesses form in the cellular tissue underlying the 
scrotum, or in the epididymis or body of the testicle. 



S76 STRICTURE. 

STRICTURE. 

By this term is meant a narrowing of some portions 
of the urethra, by which its capacity is lessened and 
the flow of the nrine from the bladder impeded. The 
common cause of stricture is the inflammation at- 
tendant upon gonorrhoea, in which disease the whole 
length of the urethra is sometimes involved. There 
may be one or several strictures, and the whole or a 
portion only of the circumference of the canal may 
be implicated. The earliest symptom is ordinarily 
an increased frequency in the desire to empty the 
bladder, or the retention of a few drops of the urine, 
which dribble afterward, and on cooling, the urine 
deposits a cloud of mucous. The obstruction in 
voiding urine increases with the growth of the stric- 
ture, and the stream becomes smaller, twisted and 
split In almost every recent case, there is also, a 
gleety discharge. Indeed, the obstinate persistence of 
this discharge is one of the most unfailing signs of 
the existence of stricture. In aggravated, long-stand- 
ing and neglected cases of this complaint, the patient's 
sufferings are sometimes truly distressing. The irri- 
tation extends to the urinary organs— the bladder 
becomes disorganized by the action of offensive am- 
moniacal urine, from the irritating presence of which 
it is never free, and ultimately the kidneys become 
involved in the destructive process. The patient is 
constantly impelled to fruitless efforts to empty the 
bladder; his rest is thereby broken, his appetite fails, 
his general health becomes impaired,and unless timely 



SYPHILIS. 177 

relief is afforded, hectica succeeds, and he sinks under 
an accumulation of eyils. 

What is called spasmodic stricture seems to be 
simply an aggravation of an already existing stricture 
by some exciting cause, as a sudden cold, over-indul- 
gence in alcoholic drinks, and the like. 

SYPHILIS. 

Syphilis is one of the class of diseases called infec- 
tious, and is characterized by the presence of a mor- 
bid poison by which the disease is transmitted from 
one person to another. The existence of a specific 
virus was at one time called in question by some, but 
at the present day it is established beyond any ques- 
tion whatever. Daily experience demonstrates that in 
syphilis there exists a contagious element by means 
of which the disease is communicated, and though 
this morbid poison cannot be detected by the senses, 
by the microscope, or chemical analysis, its presence 
is fully proved by its effects. 

As stated above, syphilis depends upon the intro- 
duction into the system of its peculiar virus. This 
may be accomplished in various ways. In the great 
majority of instances the disease is communicated by 
sexual intercourse. It may also be contracted from 
the body and bedclothes of a person bearing the dis. 
ease, by surgical instruments, by chambers and water 
closets, by the fingers of an infected individual. In 
fact, a person may be inoculated upon his lips, nose, 
eyelids, or any raw or abraded surface, upon any por- 
tion of the body. The disease may also be communi- 



178 PBIMARY SYPHILIS^ 

cated by either or both parents to their offspring. 

Syphilis is usually divided into three stages, and 
each has symptoms peculiar to itself. These are 
known as Primary, Secondary and Tertiary, 

PEIMAEY SYPHILIS. 

The lesions peculiar to primary syphilis are the 
chancre or ulcer and an enlargement of the lymphatic 
ganglions of the groin, or bubo. 

Tlie Chancre. — Although a chancre may occur on 
any part of the body, yet it is by far most common 
on the genital organs. Its common sites are the head 
of the penis and prepuce, the vulva, vagina and ute- 
rus. The disease may also attack the urethra in both 
sexes, especially in the male, although the occurrence 
is very uncommon. Any portion of the head or fore- 
skin of the penis may be affected, but of the former, 
the corona, or rather the gutter just behind the co- 
rona, and the surface on each side of the frenum, are 
most liable to be involved, from the circumstance that 
these parts are particularly apt to retain the infect- 
ng matter; for the same reason the free extremity of 
the prepuce is very prone to suffer. A severe chancre 
occasionally forms on the body or root of the penis. 
■ In the female the disease sometimes occurs on the 
perineum, on the outer surface of the labium, and 
around the anus. 

A chancre upon the mucous surface of the genital 
organ does not always pass through the same reg- 
ular stages as a chancre upon the skin from artificial 
inoculation. On the contrary, it frequently begins as 



PRIMARY SYPHILIS. 179 

an ulcer, iu consequence of the matter having heen 
brought in direct contact with the abraded surface, 
or a scratch, and in this case the CTolution of the dis- 
ease is always peculiarly rapid and well-marked. 
Sometimes the chancre is so small as to escape the 
observation of the patient. At other times, again, it 
commences as a boil or an abscess. This form is most 
common when the inoculation has taken place from 
the matter having insinuated itself into the orifice of 
a mucous follicle. Under such circumstances, the 
gland swells and becomes softened, and is soon after 
destroyed by ulcerative action. Moreover, it is impor- 
tant to remember that the viscular and pustular 
stages may have passed by unnoticed, and that, con- 
sequently, when the sore is first inspected it may pos- 
sess all the character of a well-defined chancre, No 
general symptoms precede or usher in the local disease 
whatever may be the form in which^it begins; all that 
the patient experiences is a slight sensation of heat, 
some itching, and an increase of the sensibility of the 
part which is about to become the seat of the infection. 

Chancre presents itself under two varieties of form, 
the indurated or hard and the non-indurated or soft, all 
distinctions being now abandoned, on the ground 
that, whatever differences of appearance the sore may 
exhibit, they are solely and entirely of an accidental 
character, and, therefore, altogether independent of 
the nature of the syphilitic virus. 

The indurated chancre is usually rounded or some- 
what oval, and from the diameter of a split pea to 
that of a five-cent piece. Its surface is hollow, as if 



180 SECOi^'DARY SYPHILIS. 

scooped out, and incrusted with a layer of lymph, of 
a dirty grayish color, and very firmly adherent. The 
edges of the ulcer arc hard, slightly elevated, and 
inclined a little slopingly from within outward. 

The indurated chancre has no distinct areola; its 
march is indolent; and it furnishes a thin, serous, 
sanguinolent, or ichorous fluid, small in quantity and 
difficult of inoculation. Hence, unless the matter 
comes in contact with a raw surface, or a surface well 
adapted for its absorption, a second chancre seldom 
arises during the progress of the primary one. 

The soft chancre, also generally of a rounded form, 
but less regularly so than the hard, is much more 
common than the latter, and is often multiple, from 
three to six or eight occasionally occurring in the 
same subject. It is particularly apt to snow itself at 
the free margin of the prepuce, and at or just behind 
the corona of the penis. Several of teii arise simultane- 
ously, and others are liable to form during their pro- 
gress from fresh inoculation, or the mere contact of 
their own secretion with the surrounding parts. The 
surface of the soft chancre is superficial, flat, uneven, 
and coated with a grayish, whitish or dirty drab 
colored deposit 

SECONDAKY SYPHILIS. 

The term secondary syphilis is applied to the le- 
sions that follow the primary form of the disease. 
Secondary syphilis usually supervenes in about eight 
weeks after contagion. In some it appears earlier 
than I have mentioned while in others it does not 
appear until a later period. 



SECONDARY SYPHILIS, 181 

It must be remembered that every patient does not 
have all the symptoms of secondary syphilis that I 
am about to mention; if he has received treatment it 
is likely that but few of them will occur. 

The appearance of general syphilis is in most in- 
stances preceded by certain symptoms, which resem- 
ble those that usher in other eruptive diseases and 
which have been called the'* syphilitic fever." 

Although these symptoms usually precede by eight 
or ten days secondary eruption, it is impossible to 
regard them as mere fore-runners of the latter, since 
they frequently continue after the eruption appears, 
and in some cases commence at the same time or even 
follow it. They never occur alone without being fol- 
lowed by other manifestations of syphilitic poisoning; 
are most common in connection with the first out- 
break of secondary symptoms, but may accompany, 
usually in less degree^ a second or third attack. 

These symptoms consist chiefly of head ache, pains 
resembling neuralgia or rheumatism in various parts 
of the body, and a general feeling of malaise or list- 
lessness. The patient is depressed in spirits; has a 
pale, sallow and haggard look; is disinclined to at- 
tend his ordinary occupation; and loses flesh,although 
he may eat his usual quantity of food; the hair gen- 
erally falls out to a considerable extent. He also 
Suffers from headache, which may be nocturnal, but 
which, most frequently, unlike the cephalalgia of 
tertiary syphilis, recurs in paroxysms of considerable 
severity, without reference to the period of day and 
night. 



1 82 AFFECTIONS OF THE SKIK. 

It is sometimes diffused over the whole cranium, 
and at others confined to the frontal region. In some 
instances periodical attacks of a febrile character are 
met with, consisting of a chill followed by a hot stage 
and sweating, occurring with great regularity at a 
certain hour of the day, generally toward evening, 
and hence, liable to be mistaken for intermittent 
fever. 

In some cases the digestive functions are disorder- 
ed, the appetite is diminished, the tongue coated, 
and the patient is attacked with nausea and diarrhoea. 
In others, these symptoms are absent, and the appe- 
tite may even be inordinately increased. Epistaxis, 
oedema of the lower extremities, palpitations, and a 
hruit de souffle accompanying the first sound of the 
heart, and audible both in the cardiac region and 
over the carotids, have also been noted. 

These symptoms generally become more severe, and 
persist for some time after the appearance of the erup- 
tion, though, in some instances, they suddenly cease 
upon the outbreak of syphilitic ery^7^e??2« or papulce, 
or diminish and gradually disappear in the course of 
one or two weeks. They are not benefitted by mer- 
cury, but on the contrary, are increased if this agent 
be used to excess; and this fact would seem to indicate 
that they are not directly dependent upon syphiUtic 
poisoning. 

STPHILITIO AFFECTIONS OF THE 8KIN. 

Syphilitic are distinguished from other eruptions 
by certain peculiarities, no one of which, by itself. 



AFFECTIONS OF THE SKIK. 183 

possesses absolute yalue, but several of whicb com- 
bined are generally sufficient to establish the diagnosis. 

The color of a syphilitic eruption will often indicate 
its origin. No very definite idea of this color, how- 
ever, can be conveyed by words. The older writers 
on venereal compared it to the cut surface of a ham; 
it is now commonly known as the copper color; but 
both these comparisons fail to convey a perfect idea 
of the exact hue that is intended. It is best described 
as a reddish-brow Q which a slight admixture of yel- 
low, which, in many cases, is modified by the natural 
color of the skin and by the age of the eruption. 

The copper color of syphilitic eruptions, however, 
is by no means constant, and may be simulated by 
various forms of skin disease which are not dependent 
upon the syphilitic virus. Thus, it is never seen in 
mucous patches, which are either red or of a grayish- 
white hue. It is absent in most cases of syphilitic 
erythema at the commencement of the eruption, and 
only appears as the blotches begin to fade away; and 
as a general rule, in nearly all syphilitic eruptions, 
the copper color is less marked at an early than at a 
late period. Again, the cicatrices of lupus, acne, and 
variola, may assume a reddish-brown color which is 
readily mistaken for the copper color of syphilis. In 
spite of these various sources of error, which with 
care may generally be avoided, the peculiarity re- 
ferred to is one of the most valuable means of distin- 
guishing syphilitic eruptions from those of simple 
origin. 



184 SYPHILITIC TUBERCLES. 

STPHTLITIC TUBEBCIiES. 

Tubercles, like papulse, are solid elevations of the 
derma, but differ from, the latter in their larger size, 
the greater depth to which they involve their tissues, 
the later period of their development, and their 
marked tendency to ulceration. 

Tubercles are rareJy, if ever, the fii'st syphilitic 
manifestations upon the skin. It may be laid down 
as a rule, to which there are probably no exceptions, 
that they have in all cases been preceded by some one 
of the more superficial syphilodermata, as erythema 
or papules. They are to be ranked among the late 
sjTnptoms of syphilis, and may occur ten, twenty or 
even forty years after contagion. 

TEETIART SYPHILIS. 

When the specific poison has deeply penetrated the 
system, and become, as it were, inlaid in its different 
structures,, as well as thoroughly commingled with the 
blood, the effect which it produces constitute what is 
denominated as tertiary syphilis, which usually su- 
pervenes within two years after the appearance of 
the chancre. 

The textures which are particularly prone to suffer 
in tertiary syphilis are the skin, mucous membranes, 
periosteum, bones, fibro-cartilages, aponeuroses, ten- 
dons and testicles. All parts of the economy, how- 
ever, are involved in the contamination, and it is 
extremely probable that, in the worst cases, hardly any 
organ or structure entirely escapes. The affections of 
the internal viscera, however, although alluded to by 



tICTtJEES FROM REAL LIFE. 185 

many of the older syphilographers, haye only of late 
attracted serious attention, and, hence, the amount 
and nature of their participation in this poisonous 
process have not yet been satisfactorily ascertained. 
Enough however, has been determined to produce 
conviction that the changes in lungs, brain, heart, 
liver and other organs are often of a grave character, 
liable to be followed by the worst results, because so 
insidious are their approaches and progress, that even 
their existence is hardly ever suspected during life, 
to say nothing of the impossibility of arresting them 
by any known treatment or combination of remedies. 
The most common of these internal lesions, which 
have, strangely enough, been termed secondary, are 
foul, ragged-looking abcesses, with imperfectly elab- 
orate contents, softening and pulpy degeneration, and 
tubercular deposits. Attention has not yet been suf- 
ficiently directed to the alterations of the ovaries of 
females who die of tertiary syphilis; but from the 
resemblance which exists between these organs and 
the testes, both in structures and function, and from 
the fact that the latter are so often involved in the 
disease, it is highly probable that it will be found, as 
our pathological researches are extended, that they 
frequently seriously participate in the morbid action. 

PICTUKES FKOM BEAIi LIFE. 

These are not intended to challenge criticism, nor 
excite idle curiosity. Many may see them for whom 
they will have no interest — who may, perhaps, hardly 
understand them. They will, however, fall into the 



186 PICTURES FROM REAL LIFE. 

hands of some few who thoroughly comprehend their 
purpose, and for whom they will have a solemn in- 
terest. They are, to those few, addressed in earnest 
solicitude, by one who desires to minister to their 
sorrows and to mitigate their infirmities. I ask, in 
good faith and kindliness of heart, one favor from 
the person who may receive this copy, I beg of him 
to read it carefully, thoroughly; and if he finds in it 
nothing that has a personal application to him, to 
present it to some young man of his acquaintance. It 
may thus find a reader for whom it may have a pecu- 
liar interest. I entreat that reader to weigh my 
words calmly and deliberately, for on the decision of 
that present ten minutes will hang, in all human 
probability, the happiness or misery of his future 
days. In that time may be determined whether he 
shall live an ornament to society, an honor to his 
name, a healthy, happy man; or whether he shall 
sink into the poor, pitiful, joyless, nerveless, prema- 
turely old man, without heart, health or hope. 

PICTURE FIRST; THE YOUNG SENSUALIST. 
"The glory of a young man is his strength." 
In the great battle of life there is need that each 
combatant should have a brave heart and well-braced 
nerves, for the fight is long and arduous, and the 
weak and timid have no chance therein. Nor is the 
work all toil; the high endeavor — the end in view — 
makes of it a pleasure, and as we watch the passers 
b y in the broad thoroughfares of the city, every face 
seems eager and earnest. No, not every face. Here 



t»ICTURES FROM REAL tilFD. ] 87 

comes one, alone — a solitary one. He is young, but 
he has none of the busy characteristics of his fellow- 
men. Listless in his manner, timid in his air, he 
wanders rather than walks through the crowded 
street. May be he is a clerk, or a student or a me, 
chanic. But why is he so vacant and sad? It is but 
three or four short years since, with a father's bless- 
ing and a mother's prayers, he went forth into the 
world to conquer fortune, and to ''make himself a 
man," Then his nerves were firm, his mind was 
buoyant, his step was light, and his hopes were high. 
But these few short years have wrought a sad and 
fearful change. Now, neither hope nor ambition finds 
a place in his bosom. The fresh vigor of his youth 
is replaced by a weariness of life, even while his foot 
is yet but on its threshold. See how vacant and ob- 
jectless is his gaze! His hand wanders to his forehead, 
which it feverishly presses, whilst a deep sigh escap- 
ing him tells of nervous exhaustion, and of a mind 
brooding over darkling thoughts. If you knew him 
as a child you are struck with the change. Then he 
was robust and stout; now he is thin and pale. Then 
his eye would flash fire, as he dashed with energy in 
to some boyish game; now he turns aside from old 
companions, and frowns on what were once delights. 
And, hark! that hectic cough that shakes his frame, 
exhausts his breath, and tells of an undermined con- 
stitution, and, perhaps, of the dread approach of 
consumption. Speak to him. What says he? " He 
has been ill, and growing worse for a year or so. He 
cannot account for it, and the doctor does not seem 



188 PICtUEfiS FROM REAL LlF:^. 

to do him any good, or to know what is the cause of 
of his illness. His eyes are weak, and his njemory 
gets very bad." Poor fellow! It is a sad tale. Is 
there no solution? Yes; come with me. 

It is night time. He has retired to his bed. Let 
us lift the veil of night, and gaze on him when he 
fondly fancies that no eye is upon him. Does he 
sleejy the sleep of conscious rectitude — enjoy the 
welcome repose of a self-satisfied mind? Xo, alas! 
What tempest of passion — what hurricane of lust is 
this that sweeps across the soul? Why do his eyeballs 
glare on Yacancy? Why does his cheek flush now like 
fire, now become pallid as death? Why does his pure 
heart now beat as if it would burst through its tene- 
ment of flesh and bone, and anon scarce indicate a 
fitful pulse? And now, why does he sink sighing and 
exhausted, helpless and lifeless upon his pillow? The 
fearful truth is all revealed. Sensuality has only too 
faithfully painted its deep lines on his body and 
mind. The picture is only too complete. Before you 
lies a poor, self-destroying, self-debauching, nerve- 
less, joyless Onanist. 

"A shocking picture indeed I" some of my readers 
exclaim, ''but surely a little overdrawn?" Not so. 
The silent tortures, the voiceless sorrows endured by 
those who persist, from year to year in the practice 
of Onanism, exceed the descriptive power of my pen, 
or of any other. Instead of exaggerating, every true 
mind sinks appalled from the magnitude and stern, 
ness with which these evils haunt the footsteps of 
those who persist in the practice, whether wilfully or 
ignorantly. 



I»ICTURES J?ROM RUAL LIFE. 189 

PIOTUKE SECOND; THE BACHELOR SENSUALIST. 

In every community there are many middle-aged 
men, who, from choice or necessity, have not assum- 
ed the responsibilities of married life. It may be that 
they have failed to secure one whom they have fond- 
ly loved in youth ; it may be that they have deter- 
mined to secure a higher position, and a more assured 
income before marriage. As a general rule these men 
are hard-working, energetic men of business, strictly 
temperate, well educated, saving in their habits, and 
highly esteemed in society. But there are amongst 
them others altogether different — men of shy habits, 
and downcast looks, sometimes of morose and peevish 
minds. In what should be the very prime of their 
life, they find their constitution failing them. They 
have well-grounded fears that manhood, vigor, men- 
tal and bodily, are fast leaving them. I have been 
consulted by many such. Their usual theme has been 
"Why do I suffer? Have I not led a sober, temperate 
and sensible life? Have I ever been guilty of dissipa- 
pation or debauch? My life has been regular; I have 
kept early hours — lived in good, well-ventilated, 
cheerful homes; my diet has been sound and whole- 
some, and I have taken sufficient and regular exer- 
cise." All this is true. Every rule tending to health 
and happiness has been observed, save one. Under- 
stand, my friend, the blood is the life. Do you 
know that one ounce of the semen is equivalent to 
FORTY ounces of blood? Be no longer ignorant — you 
are answered. The secret sin — the sin of Ouan — has 



190 PICTURES FROM REAL LIFE, 

been draining your heart's blood for year&. Be as* 
sured that no man can commit evil without evil con- 
sequences — for '^Sorrow tracketh wrong forever and 
ever/' 

When the constitution is healthy and vigorous, it 
may resist the consequences for years; but the ulti- 
mate effect will be all the more aggravated. The vital 
force, unable to bear the waste of more than life, 
gives way suddenly. The healthy, middle-aged man 
becomes a confirmed invalid. Worse — infinitely worse 
it is when such a man ignorantly marries. I remem- 
ber such a case. The gentleman was about forty 
years of age. He had gradually worked his way up 
(without capital) from the position of book-keeper, 
at a few shillings a week, to salesman, buyer and ul- 
timately partner, in one of the greatest commercial 
houses in G. This fact speaks volumes for his mental 
activity and unblemished integrity. He was a person- 
able man, stout of limb, healthy in appearance, but a 
confirmed private sensualist. Years had passed since 
he first addicted himself to the unfortunate habit — 
yet hitherto his system had resisted the constant 
drain upon its vital resources. Not that he has been 
without warnings Sometimes a failing eye, a wander- 
ing mind, a unwilling stomach, perchance restless 
nights, and vague discomfort. He soothes his con- 
science, and says,**I work too hard, I have indigestion, 
I will take a holiday." And now he thinks it is time 
he should marry. His position is assured — he is a 
a wealthy man — his ambition is satisfied, and he will 
seek to be happy. He is, to all outward appearance, 



PICTURES FR03I EEAL LIFE, 191 

\n acceptable husband; his character is beyond re- 
proach. He only knows of one disreputable phase 
which disfigures it, and that he determines to abandon 
forever, in order that he may be fit for the pure and 
virtuous embraces of his bride-elect. His sin has 
found him out; those who will not be warned must 
be punished; unhappily, too, the innocent must suffer 
also. He marries, and on the nuptial couch, in the 
arms of her he loves, he — poor self-deluded, self- 
ruined sensualist — discovers that the vigor of man- 
hood has departed from him forever! 

But there is another and more frequent cause of 
matrimonial unhappiness — a cause to which I have 
already directed attention. 

Subjects of grave and painful importance require 
plain and intelligible language. I will therefore say, 
emphatically, that the destructive habit of self-abuse 
practiced in early life, fearfully injures the energies 
concerned in the reproduction of our species, and the 
due fulfillment of the nuptial rite. It unfortunately 
happens that a man may abandon self-abuse as a vol- 
untary act, and yet not be free from the consequences 
of his former folly. A new and unnatural association 
has been established between the organs ()f generation 
and the mind — involuntary discharges of semen take 
place during sleep; the seed is lost in the urine, at 
stool; the muscular fibers surrounding the seminal 
ducts become relaxed, and all control over their action 
is entirely lost. Let not any, then, imagine that 
having incurred the judgment of guilt they shall 
©escape ^^e penalty, unless by prudent and prompt 



192 PICTURES FROM REAL LIFE. 

action, and attention to skilled advice, the instant 
the knowledge of that guilt and the certainty of its 
fearful consequences occur to them, they adopt the 
only measures by which the scourge can be averted. 
Therefore, let me solemnly warn any young man now 
contemplating marriage, and who may at times have 
indulged in the secret vice of the solitary sensualist, 
not to take upon himself the sacred obligations and 
responsibilities of a husband until he is fully satisfied 
that his blood, his nervous system, and his procrea- 
tive powers are free from the morbid effects of his 
past indulgence, 

PICTUKE FOURTH:— THE WIDOWER SENSUALIST 

A man who could sit in my consulting room, and 
listen day by da}^ to the weary tales of sin and suf- 
fering, folly and remorse, which are continually 
poured into my ear, without occasionally weeping 
^vlth. the sufferers, is a man whose sternness and stub- 
bornness of heart I do not envy. For myself I do not 
blush to confess that during such confessions I am 
frequently compelled to give outward signs of my 
sympathy for the suffering narrator, and the more 
devoted do I become to the specialty I have made of 
these diseases for the last twenty-five years, and the 
more determined is my resolution to persevere to 
the end in probing the very depths of scientific study 
and research. 

Of all the pitiable phases presented by the practice 
of self-abuse, none is so pitiable as that of the man, 
who, having been bereft of the partner of his bed at 



PICTURES FROM REAL LIFB. 193 

home, abandons himself to the tyranny of self-lust, 
and thus precipitates himself into a dark and dismal 
gulf of bodily and mental aflliction. 

PICTURE fifth: the skeptic sensualist. 

I can imagine one of my readers, who has glanced 
with rapid eye over the preceding pages, who may 
exclaim: "Ay, ay, doctor; it is all very well, and I 
dare say there are some two or three in a million to 
whom these facts and descriptions apply,but they ap- 
ply to very few! I believe that a man may practice 
self -abuse for years, and really suffer no evil conse- 
quences. 1 know that I have no time, no means, nor 
opportunity of indulging myself in the pleasure of a 
connubial life, and I have resorted to this habit to 
relieve myself of the promptings of nature, and I am 
neither sick nor diseased; I have had none of the evils 
you speak of, and I don't think I ever shall." 

My reply is, "Gently, my friend; do not draw rash 
conclusions. Listen patiently for a tew minutes, and 
I think you will own yourself in the wrong." If you 
are an Onanist; if you have at any time abandoned 
yourself to that vice, which has been aptly called the 
'^Adultery of the mind," I defy you to say truthfully 
that you have not experienced effects more or less evil. 
I challenge you, as an honest man, to say whether you 
have not had your warnings? I beg of you, specially 
YOU skeptical reader, — infatuated abuser of yourself, 
— to answer to your own soul, in truth and sincerity, a 
few questions of solemn import touching the effects of 
self -abuse, not on another man, but on yourself— on 



194 PICTURES FROM REAL LIFE. 

your own precious body and mind. Answer them 
truly, seriously, in the solitude of your own chamber, 
and think ere you reply. 

Are you an Onanist? 

In pursuit of the baneful and degrading practice 
of self -abuse, have you ever felt it to be a sinful prac- 
tice — unmanly, unchristian and degrading you be- 
neath the level of the beast, which in following the 
mere promptings of instinct never falls so low? 

Have you ever yet oi^CE practiced it without, in the 
act, making up your mind that you would ncTer re- 
peat it? 

Do you suffer from involuntary nocturnal emissions 
or are you ever troubled with erections without any 
apparent cause, failure of erection when desired, or 
premature discharge of semen during coition? 

Have you dull pains in the groin, pains in the back? 
Does your sight fail you? Have you nervous head- 
ache? 

Are you subject to pimples on the face, back or 
forehead ? 

Do you suffer from a hacking cough, for which all 
remedies seem unavailing? 

Are you fatigued with the slightest exertion, and 
and does lassitude of body arnd mind overtake you 
without cause? Are you restless when fatigued, and 
unable to obtain refieshing slumber? 

Have you lost energy, appetite, power of enjoy- 
ment? Are you frequently averse to society, even of 
intimate friends? Bashful in female society, unable 
to join in conversation? 



PICTURES FROM REAL LIFE. 195 

Does your memory fail you? Are all your senses 
blunted? 

Do you fall into dreamy fits of abstraction, brood- 
ing over the past, hopeless as to the future — all the 
noble aspirations forgotten which gilded the morning 
of your career? 

Honestly, thoughtfully, mournfully recalling your 
past life, are you not certain that your health would 
have been better, your heart stouter, your hopes 
brighter, your mind and thoughts purer, more digni- 
fied and manly, if you had not acquired for yourself 
your own self-reproach? 

Let the victim of his own evil passions answer these 
questions, among a thousand such I could propose to 
him. Answer them truly, honestly and without 
mental reservation, as between heaven and his own 
conscience. And if the answer to them or any part 
of them, be the one emphatic "Yes," how will he 
dare to say that he has indulged his vile appetite for 
solitary excess without experiencing some of its at- 
tendant evils? — without having had emphatic warn- 
ing that his sin is finding him out, and that days and 
and nights of woe and torture are now impending, 
Unless he accepts the warning, and reverently retraces 
his steps from the evil path he has chosen? 

Let him, therefore, earnestly endeavor to lead a 
new life, lest in the future day, as he has sown the 
storm so will he reap the whirlwind, when the tem- 
pest of passion and lust shall have left him, bereft of 
all but an enfeebled mind, and a body racked — 



196 LIVEE COMPLAINT. 

preyed upon by the tortures of a memory bitterer 
even than death. 

But I hope that many who read this will turn from 
their errors, the truth will prevail, that their con- 
science will be awakened — alas ! so many err through 
ignorance. And if this book is instrumental in saving 
even oi^E who would otherwise have been lost, from 
evils leading to destruction, I am amply rewarded — 
it has not been written in vain. 

LIVER COMPLAINT. 

This is a disease much talked about, but at the 
same time, very imperfectly understood. Properly 
speaking, every derangement of the liver oi bilious 
system is a liver complaint, but the peculiar state of 
the liver, to which I now have reference, is a chronic 
affection, and usually arises from a torpid or conges- 
tive state of that important organ. Sometimes the 
bile is deficient in quantity or vitiated in quality, or 
both of the states prevail at the same time; some- 
times the disease is owing to an obstruction in the 
duct or pipe which conveys the bile from the liver in 
to the bowels. The obstruction is very frequent,and 
is usually caused by the pipe being clogged up by a 
thick, tenacious slime or mucous, and sometimes by 
gall stones. The bile is then thrown back into the 
gall bladder, which conveys it into the thoraciQduct, 
a pipe that runs up along the spine, and terminates 
in and empties itself into the large vein of the left 
shoulder, near its junction with the veins of the head 
and neck, and from thence the bile is conveyed to 



LIVER COMPLAINT. 197 

the heart, and becomes mixed with the blood. The 
bile in this manner, being diverted from its proper 
course, and circulating in a part of the body- 
where it was never designed to by Nature, produces 
much evil, and often disastrous effects upon the 
health of the individual, because, for the want of 
healthy bile to mix with the half-digested food, a 
complete separation never takes place between the 
chyle (the milky liquid which forms the blood) and 
those portions of the food designed by Nature to be 
ejected from the bowels; for the bile when present, 
purifies and separates the healthy from the unhealthy- 
portions in the same manner that isinglass or white 
of eggs separates wine or cider from their imperfec- 
tions, and consequently- the very fountain of life is 
vitiated and corrupted at its source; costiveness pre- 
vails, or alternately costiveness and diarrhoea, wind 
in the stomach and bowels, and the patient is often 
annoyed with worms and frequently with the piles. 
The coarse particles of the bile thus mixed with the 
blood more or less obstruct the pores of the skin and 
small blood vessels, and hence give rise to various 
diseases of the skin, such as erysipelas, eczema, itch- 
ings, small watery vesicles, blotches, tumors, pimples, 
scurfiness, boils, sore eyes, sores and ulcers of various 
kinds. The skin is more or less yellow, and when 
the disease is of long standing, often very dark; and 
has a disagreeable, dirty, greasy appearance, and 
sometimes there is a perfect jaundice. The whites of 
the eyes have a a green or yellow tinge. 
More or less bile is strained off from the blood in 



198 LIVER COMPLAINT, 

its passage through the kidneys, and is mixed with 
the urine, which, by its acrimony, produces pains in 
the back, and scalds and irritates the urinary pas- 
sages. Some days the discharge of urine is profuse, 
and natural in its appearance; at other times it is 
scanty, and the desire to evacuate is frequent and ur- 
gent, and occasionally there is a total suppression of 
it. Sometimes the color is nearly white, and milky, 
but usually it is high colored, red or yellow, with a 
rank, offensive odor; and sometimes it is bloody. 

The tongue is usually more or less coated with a 
white or brown scurf. There is irritation and fre- 
quently chronic inflammation of the inner surface of 
the stomach and bowels, with tenderness on pressure 
and soreness along the lower edge of the ribs. Some- 
times there is a loathing for food, and at other times 
there is a voracious appetite. There is often a feeling 
of chilliness, and coldness of the feet and knees, and 
along the inside of the thighs, sour or bitter eructa- 
tions, and sometimes a spitting or throwing up of 
the food after eating. 

There is a feeling of oppression across the stomach 
and chest, as if pressed down by a weight; trouble- 
some and often frightful dreams, low spirits, languor, 
want of energy, melancholy, restlessness, and dis- 
contentedness — gloominess of mind, timorousness, 
and a great dread of trouble, and a disposition to 
magnify every evil — sometimes great watchfulness 
and an inability to sleep — at others, great drowsiness 
and weariness, and a disinclination to motion. At 
times the face is flushed, and more or less fever, es- 



LlVfiR C0M1>LA1KT. 100 

pecially at night, or in the afternoon. Sometimes, 
violent colics and wandering pains in various parts of 
the body. Frequently there is a short hacking cough, 
with a huskiness of throat, and. sometimes a very se- 
vere, dry and hard cough, which is often mistaken 
for consumption. This cough often commences in 
the latter part of the night or early in the morning, 
and lasts for hours, frequently producing nausea and 
vomiting. If there be any expectoration, it is a tough, 
ropy, tenacious phlegm, which adheres to everything 
it touches. There are also, frequently, chronic pleu- 
risy pains in various parts of the chest, which shift 
about from one part of the breast or side to the other. 
Sometimes abcesses form in the liver, and pressing 
upward on the lungs, produce constriction and cough; 
and breaking, discharge their contents into the lungs, 
from whence it must then be ejected by expectoration, 
or the patient is destroyed. Some persons are troubled 
with spasmodic twitches in various parts of the 
body, sometimes faintness and sighing, difficulty of 
breathing, reading or talking producing weariness. 
There is a beating sensation near the pit of the stom- 
ach, with palpitation and fluttering of the heart; pro- 
fusion of dandruff and loss of the hair; indeed, to 
sum up in a few words — a yellow, dirty, greasy ap- 
pearance of the skin, a yellow or green tinge of the 
eyes an aching pain across the kidneys and hips, with 
irritation or heat in discharging the urine — a sensa- 
tion of fullness and distention across the abdomen, 
with tenderness on pressure — lowness of spirits, 
frightful dreams, acidity of the stomach, with other 



^00 t>HYMOSlS. 

dyspeptic symptoms, bilious fever, bilious colics and 
bilious diarrhoea and dysenteries, obstinate costive- 
ness, intermittent and remittent fevers, jaundice, 
fever and ague, chill and fever, &c., all originating 
from the same cause — a deranged state of the liver. 

PHYMOSIS. 

The term phymosis is applied to that condition of 
the penis in which it is impossible to retract the 
prepuce behind the glans. 

In the majority of cases phymosis is a congenital 
malformation due to unnatural narrowness of the 
preputial orifice, and may h& associated with adhe- 
sion, varying in position and extent between the 
glans and its covering. Congenital phymosis is a 
source of not only great inconvenience to the subject 
of it, but of increased exposure to venereal diseases 
in promiscuous intercourse, and is sometimes the 
cause of serious disturbance in the genito -urinary and 
nervous systems. Among the symptoms which have 
been ascribed to congenital phymosis are balanitis, 
constant itching and even pain at the head of the 
penis, inordinate excitability of the genital organs, 
frequent erections, erotic dreams, seminal emissions, 
imperfect developement of >the penis and testicles, in- 
complete and painful ejaculations of the sperm, vesi- 
cal tenesmus, incontinence of urine, gastralgia, 
neuralgia and general lassitude and prostration. 
Probably no one will be disposed to call in question 
the occasional connection between the milder of the 
above affections and phymosis. With regard to the 



PATIENTS AT A DISTANCE. 201 

others, some doubts might be legi timately entertain- 
ed, were it not for the circumstaatial report of the 
symptoms, and the fact that simple excision of the 
elongated prepuce has in most cases brought complete 
and permanent relief. 

TO PATIENTS AT A DISTANCE. 

Our present mail facilities are so perfect and rapid, 
that an interchange of thought, and every want can 
be communicated and every trouble told. The advan- 
tage thus accruing to individuals remote from each 
other by distance, can scarcely be estimated. Few 
appreciate this more than the individual that is in need 
of the advice and services of a scientific physician; 
though the facilities of the ma il a correspondence 
may be established between physician and patient, 
and delicate questions discussed ; although thousands 
of miles apart it is no barrier to the patient fully 
solving some question concerning their organization, 
of which perhaps he or she has long been in doubt; 
anxious perhaps to make known some infirmity, or 
solicitous to ascertain how to remove one, and one it 
may be that no power could induce them to speak 
of verbally to the family physician. Thousands there 
are who have infirmities, ailments, or impediments to 
their forming matrimonial alliances, trifling perhaps 
in themselves, and easily removed by a skilled and 
experienced physician; yet all the world could not 
induce these persons to speak of them to their near- 
est and dearest friend, much less their resident phy- 
sician, although he may be a friend. Very many 
there are who would rather go down into the grave 



202 PATIEl^TS AT A DISTAKCU. 

than to be recognized by their friends, even their pro- 
fessional friends, as the afflicted in the manner par- 
ticularly discussed and treated upon in this work,but 
in the form of a letter every minute suffering may be 
portrayed, every fact may be made known, and the 
history of the case fully detailed; and yet the writer 
if he chooses, remains incognito. In my experience, 
which extends over many years, I have found that 
patients, many of them, could sit down in their clos- 
ets and delineate their case, minutely in every partic- 
ular, while in the presence of a physician they were 
diffident, agitated, and could make little or no state- 
ment. Then the advantage financially to those at a 
distance, by the mail facilities, is great. I have had 
patients visit me for some ailment, where the distance 
was so great, that the railroad fare and expenses while 
in the city, amounted to much more than the treat- 
ment, cases had they given me a written statement, I 
could haTO done just as well for them at their homes 
and not incurred the large traveling expense. True, a 
personal interview is always preferred where patients 
can state the facts without hesitation or flurry, and 
can afford the expense of coming to the city and in some 
few cases it is absolutely necessary. I hold myself 
in readiness to give counsel in either way to such as 
desire it, and all such consultation, personally or by 
mail, will be held most religiously sacred. A postage 
stamp must accompany all communications or they 
will not be replied to. On receiving a candid state- 
ment, I shall make my demands in accordance with 
the patient's limited means. My medicines are all 



VOLUPTUOtJS BOSOM. ^03 

compounded in my own Laboratory under my super- 
vision; the best of drugs are procured, regardless of 
expense; and in sending medicines by mail or express, 
care is taken that the contents of the package shall 
not be known. 

NOTICE. 

Patients applying to Dr. Bate's Institute see the Prin- 
cipal in person, who is constantly there during office 
hours, and personally responsible to all who may ap- 
ply either by mail or in person. The associate phy- 
sicians are engaged most of their time in patting up 
medicines, and answering the numerous correspon- 
dents, after all such correspondence has been read 
carefully by Dr. Bate in person, and directions given 
in regard to answers. Patients desiring private apart- 
ments, board, attendance, etc., have it provided for 
them, 

A VOIiUPTTOUS BOSOM. 

My success in stimulating nature in its action up- 
on the organs of the chest and mammary glands 
has far exceeded my most sanguine expectations 

1 have seen the soft, flabby, shrunken, and non- 
developed breast, in a short time, under my treat- 
ment, develop and increase in size and fullness, and 
attain the most bewitching symmetry of a beautiful 
bosom, which was truly marvelous. To those who 
have never been properly developed, or those who 
have lost the beauty of the breast from nursing, pad- 
ding or any other cause, I recommend my mode of 
treatment, and in a short time no art, or padding 
wjll be required to perfect the beauty of your form, 
but matchless beauty will adorn your chest, give grace 



204 ATTRACTIVE COMPLEiXlOlf. 

and dignity to your person, witli the gratification of 
possessing a healthy well-formed bosom and strong 
lungs. My treatment is based on the laws of physiol- 
ogy and science 

Ladies need not hesitate to address me on this sub- 
ject, as in this and in all other correspondence the 
strictest confidence will be maintained. Price of a 
course of treatment including remedies, fifteen dollars. 
Remedies carefully packed, concealed from observa- 
tion, forwarded anywhere by express on receipt of 
115, or if you prefer you can send 87,50. I will col- 
lect balance on the package. Money can be sent by 
post oflBce order, registered letter, draft, or express 
at my risk. 

ATTBACTIVE COMPLEXION. 

It is a duty of the highest importance that every 
lady owes to herself, to preserve her complexion in all 
its attractiveness and beauty. All agree in the one 
impression made by a perfect complexion. It capti- 
vates and ravishes all beholders. The skin of all 
exposed portions should be clear without spot, and 
free from all suspicion of any disease. The beautiful 
women of all ages owed their beauty to their fair com- 
plexion and ravishing form. Diseases which destroy 
the complexion are of two kinds, first those which af- 
fect the skin and below it, such as tetter, ring-worm, 
acne, red blotches, pimples, black worms, etc. 

Chronic forms of erysipelas often attack the face 
and nose, causing the nose to enlarge and become pur- 
ple red. All of these skm diseases on the face are 
curable to a certainty, and should not be allowed 



BLAKCH DE LA PEAU. 205 

to destroy the beauty. Another class of affections 
attack the scarf-skin, which lies upon and covers the 
the true skin, such as freckles, moth patches, brown 
and yellow discol orations under the eyes and upon 
other parts of the face, premature wrinkles at the 
angles of the eyes, extending to the temples. To pre- 
serve the complexion in all its attractiveness and 
beauty, I have never met with anything to compare 
with a preparation that has been used by European 
ladies; it removes all freckles, moth patches, pimples, 
tan, softens the skin and beautifies the complexion. 
This preparation has received the approbation of the 
fashionable and beautiful ladies of Paris for the past 
fifty years. It was prepared by Madame De Morris- 
coe, and called 

BLANCH DE LA PEAU. 

This preparation has acquired a reputation on its 
merits and ability, and been recommended by one to 
another from actual knowledge of its value as a beau" 
tifier; for imparting freshness, smoothness and trans- 
parency to the skin it has no equal in the known 
world. Once used and it is forever sought after by 
persons desiring a beautiful complexion. 

For gentlemen it is invaluable in stopping all su- 
perflous growths, and for itching and tenderness 
after shaving; for redness of the eyes, chapped lips, 
exposure to the sun or wind, burning of the scalp, 
looseness or falling of the hair. It always gives the ut- 
most satisfaction as a toilet for infants — for chafing or 
from any cause. It cannot be excelled. It never fails 



to give entire satisfaction. I am the only person in 
America having the original receipt of this valuable 
preparation; it is prepared by me and sent anywhere 
by express or mail with full directions. Price $2.00 
per package or |18,00 per dozen. 

IMPORTANT TO THE MABRIED AND MARRIAGEABIiE. 

Much infelicity, dissatisfaction, complaint, jeal- 
ousy and domestic wrangles leading to divorces and 
separations frequently arise from the premature dis- 
charge of semen on the part of the male during cop- 
ulation, before the female can reciprocate. She is 
disappointed and disgusted; and in suppressed anger 
feels she is the victim of previous sensuality. This 
infirmity can be positively cured by Dr. Bate and 
persons thus afflicted should apply to him in person 
or by mail at once, 

IMPOSTEES. 

I feel it my duty to caution patients and partic- 
cularly strangers against impost ers who infest all 
large cities. Many of these fellows are men of the 
lowest type, publishing bogus certificates of cure by 
the thousand. No scientific or honorable physician 
will attempt to bolster up his business by flaunting 
the names or cases of persons he has had under his 
professional care, and Dr. Bate respectfully cautions 
the afflicted against such pretended physicians. Pa- 
tients are informed that under no circumstances will 
Dr, Bate reveal the names of patients coming to him 
for medical treatment or advice, or allude to their 
case in any way verbally or in print, but the most in- 



LOST PASSIONS REGAINED. 207 

violable secrecy will be maintained, and all corres- 
pondence returned or destroyed at the end of the 
treatment, and the most timid may consult me with- 
out hesitation and rely on inviolate secrecy. 

liOST PASSIONS REGAINED. 

It is a fact most apparent, that hundreds, yes 
thousands of females, from various causes, a few years 
after marriage, lose that passion and warm desire that 
they possessed when first married. The passions be- 
come dormant, and while there is no particular aver- 
sion to intercourse, there is a coldness, an indifference, 
little or no desire for weeks. The husband soon feels 
that loss and secretly asks himself why his wife is so 
cold and growing so dormant, and thus a coldness 
and indifference is apparent on the part of both, and 
the wife begins to wonder why her husband does not 
pay her that nice attention he formerly did. The 
cause is obvious. Restore those passions that are nat- 
ural, and should not begin to fail but remain vigor- 
ous and strong up to forty-eight and fifty. 

My Female Invigorator is an infallible remedy in 
such cases. I have used it in my practice for the last 
fifteen years. No female should be without it, as it 
regulates, invigorates and keeps the generative or- 
gans in a healthy condition. Put up in pint bottles, 
at $5.00 each. 

SPEOIAIi OAED. 

Any person needing immediate treatment, and not 
knowing my charges, can send me $10.00 fully de- 
scribing their symptoms, and I will immediately for- 



208 A FAMILIAR TALK WITH MY PATRONS. 

ward a package of medicine with full instructions for 
a complete cure of the diflQculty, if the nature of the 
disease requires additional fee, it can be sent on re- 
ceipt of the package. 

A FAMILIAB TALK WITH MY PATRONS. 

My practice is founded on the principles of Truth, 
Science and Humanity. In all cases conscientious ad- 
vice will be given. If, on examination or description, 
I find a patient incurable, I frankly state that the 
disease is beyond my skill. 

My practice being the most extensive in the West, 
If not in America, from great experience and study, 
I have acquired such a rare facility in diagnosing and 
prognosiiig disease that I am able to tell, almost at a 
glance, the curability or incurability of any case. 

Being a regularly educated physician, from the 
first Medical Colleges, I employ the best means to 
obtain the best results, although, from large expe- 
rience, I have been forced to throw aside much of 
what I learned in my medical course, and adopt a 
more rational and comprehensive materia medica. 

I will not promise to perform impossibilities; but 
ill shall be truthfully advised, faithfully and honest- 
ly served. 

I claim patronage on the ground that invalids can 
obtain from me the finest medical treatment in this 
30untry, the absence of charlatanism, and reference to 
our first citizens. 

I do not claim that my views of disease and treat- 
ment or that my remedies are perfect or infallible. I 



FACTS FOR EVERYBODY. 209 

believe in the divine progress of the human race and 
the nascent power of human understanding. 

I appeal to the common sense, the justice and the 
judgment of the people. Those who know me and 
my cures are enthusiastic in my praise. 

The diseases now prevalent in America threaten, 
if continued, to sweep the inhabitants into premature 
graves. I rarely find a healthy person now; all 
have something the matter with them — some secret 
disease which is silently sapping the foundation of 
life. 

FACTS FOR EVEETBODY. 

Infinite wisdom has procured innumerable remedies 
for the cure of all diseases. By divine direction water 
cured Naaman, the Syrian; a fig poultice cured Hez- 
ekiah, the king; the Balm of G-ilead restored David; 
Oil and Wine were used by the good Samaritan; 
Christ cured the blind man by the application of clay 
to his eyes. 

Animals when sick eat certain plants and are cured. 
A dog will eat grass when sick, and poisonous rep- 
tiles when bitten are cured by plants of the woods. 

The Vegetable Kingdom is the connecting link 
between the Animal and Mineral Kingdom. Chem- 
istry has analyzed most Animal, Mineral and Vege- 
table substances, and demonstrated that their elemen- 
tary constituents are the same. 

Chemical science has shown that vegetables contain 
gold, silver, iron, manganese, potassium, sodium, &c, 
— all purely metallic substances, 



210 FACTS FOE EVERYBODY. 

Hence, it is manifest ignorance for a certain class 
of persons to style themselves ^'Vegetable Doctors," 
and assert that they do not use minerals. 

The bones contain five, the saliva three, the gastric 
juice four, and the blood five, distinct mineral sub- 
stances; and, as these are indispensible to the living 
body, they must be constantly supplied — a deficiency 
of either of them producing various diseases. 

When I see the pale, weakly female, her eyes dull, 
her complexion tumid or waxy, her menstruation 
irregular, and a want of energy and life characteriz- 
ing all her movements, it is well known a certain 
element of the Mineral Kingdom is wanting. 

When I see a man averse to female society, his 
virile powers enfeebled or erratic, his temper irritable 
and capricious, and he finds fault with li?e generally, 
it is well known that here also a certain element of the 
Mineral Kingdom is wanting. 

And how few know the true cause of their feelings! 

There never was a truer saying than Bishop 
Whatley's, "That a sound body makes a healthy 
mind." 

IN THK HOUB OF HEALTH HOW PEW THINK OF DISEASE. 
PROORBATION. 

An author says that to procreate is in effect to die 
to one's self and leave one's life to posterity. 

Nonsense. Continent men on the average die 
sooner than those who are married. 

Moderate intercourse deprives the system of noth- 
ing but what it is healthful to lose. 



ADVANTAGES OF MARRIAGE. 211 

ADVANTAGES OF MARRIAGE. 

We fully agree wifch a certain physiologist, that 
"Matrimony, as established in Christian countries, 
greatly contributes to the health and happiness of the 
human species," but we are not so sure that he is 
right when he says that **men before they are mar- 
ried are always discontented." 

Our conviction is that a bachelor, even beyond the 
hope of matrimony, is not so discontented a being as 
a man who is married, but not to his mind. 

And the same rule will apply, even more forcibly, 
to the other sex; for men have a partial corrective, 
which, if not sanctioned, is at least winked at by so- 
ciety; whereas women have none but the one which 
involves their destruction. 

Consequently, great care should be taken in the 
choice of a partner for life, not as regards beauty, 
habits, manners, &c., but physical construction and 
desires. 

It is a great error to society, that which compels 
people to marry, while so much in the dark on cer- 
tain subjects in which they are so vitally concerned . 

For instance, it is not to be expected that much 
happiness can attend the union of a lymphatic man 
with a sanguine woman, or vice versa; and equally, 
or even more disagreeable is the result, when a wed- 
ded couple discover that they are unsuited to each 
other; and hence they cannot duly realize the most 
important of the enjoyments of wedlock. 



812 ADVANTAGES OF MAERIAQE. 

It might be well for millions, if the manners of the 
age permitted inquiry on those subjects; and it might 
be accomplished through relations or friends, without 
any great sacifice of modesty. 

At all events, the mode of taking each other, for 
better or worse blind-folded, is in nine cases out of 
ten the cause of unhappy marriages, divorces, elope- 
ments, desei-tions, and so forth; for if a couple are 
physically and mentally agreed, contentment is the 
natural result. Otherwise, matrimony is not to them 
the thing they expected and hoped for, and each 
pines for enjoyments which they find it impossible to 
convey to the other. 

However, marriage in any mode is far better than 
none at all; for, to say nothing of its immorality, 
promiscuous intercourse enervates the system, oppress- 
es the brain, and blunts the appetite of desire. 

Variety, in fact, counteracts healthy and vigorous 
excitements, for its stimulations are but as the passing 
moments of unnatural strength, during the crisis of 
fever. 

Hence, men who have been renowned for their 
amorous propensities, according to their own admis- 
sion, derive but little enjoyment, yet great prostration 
from sexual intercourse; and their children, when 
they had any they could vouch for, have been in most 
cases weak, puny and imbecile. 

Thus the laws of Hymen do not restrict, but actu- 
ally promote sexual pleasures, and are the only certain 
road to them; for such is the state of society, that 



ADVA.NTAGES OF MARRIAGE. 213 

without legal vows, fidelity can harldy be expected. 
Cupid may visit other places, but with all its draw" 
backs — and they are many there is no denying — he 
rarely finds himself truly at home but in the marriage 
couch. 

M. de Hansierck argues with eloquence in favor of 
polygamy. 

He insists that it is agreeable to the original inten- 
tion, and refers to certain customs amongst ancient 
Jews, in evidence. 

He further insists that no man can be satisfied with 
one wife, but that four, differing in disposition, and 
style of beauty, would bound his desires. 

And several distinguished German philosophers 
are of the same opinion. 

But we hold them to be in error, for jealousy must 
be the sure result of polygamy, and indeed it seems 
one of the principal intentions of this vigilant sensa- 
tions to make one man and one woman faithful to 
each other. 

However, in some nations — China for instance — 
a plurality of wives is said to produce no unpleasant 
domestic results, and the Chinese novelists, when 
they wish to have their heroes in a state of extreme 
conjugal felicity, usually give them two wives, of 
opposite temperament and style of beauty, who are as 
tenderly attached to each other, as they are to their 
common husband. 

But in all such cases the women must rather be 
regarded in the light of slaves than of bosom partners 



214* ADTA>.'TAGE3 OF MARBIAQE. 

and if they had their own will in the matter, we donbt 
not they would alter the system, for every female is 
a natural despot in the afiair of love, and will of her 
own consent permit no rival near the throne. 

At all events, we are satisfied that the doctrine of 
plurality would not answer in civilized countries, 
where tht3 sexes are more on a par in general privil 
eges: for here, if the man insisted in two wives, there 
is nothing more certain thanthat the two women 
would compromise the matter, by providing them- 
selves, legally or otherwise, with two husbands. 

Furthermore, '^in places where a plurality of wives 
is allowed," says an eminent writer, ''the carnal ap- 
petite grows surfeited, and occasionally so depraved, 
that other objects become yet dearer to it than the 
female sex. 

Thus, the monarchs of the Celestial Empire have 
been known to indulge in the most unnatural excesses . 

''Hence/' continues the same author, "if we would 
escape evil, marriage is not only a benefit, but a 
necessity." 

Let us add that while marriage, as legal in most 
parts of Europe, promotes sexual pleasures, it secures 
constant moderation, which is necessary for the health 
of the body — yet more so for that of the mind. 

When persons alike eschew marriage and libertin- 
ism, unnatural indulgence — to which we have devoted 
a chapter elsewhere in this book — is in nineteen cases 
out of twenty the consequence, and where it is avoid- 
ed, and absolute continence persisted in, the party 



ADVANTAGES OF MARRIAGE. 215 

will have to purchase the peculiarity by a life of 
anxiety, sorrow aud suffering. 

Among the effects of the latter are ferocity, deter- 
mination of the blood to the head, indigestion, inor- 
dinate desires, heart throbbings, inability to divest the 
mind from the prevailing passion, partial insanity, 
and early death, 

Besides, to be continent is not to be chaste, as it is 
sure to engender a constant change of voluptuous im- 
ages, and untameable desires, which it would be diffi- 
cult to reconcile with strict purity. 

By long and severe fasts, and shunning the so- 
ciety of the female sex, we have no doubt that men 
may greatly suppress their animal desires, but they 
by no means obliterate them, and clergymen of the 
most austere orders have admitted this, whenever they 
chose to speak freely on the subject. 

An ecclesiastic in Bordeaux, finding it impossible 
to starve out his desires, shot himself through the 
heart, where lay the seat of his disease, 

Gregory admitted the difficulties, in this respect, 
that celibacy imposed on its votaries, but argued, 
that were it otherwise, continency would be no virtue 
•end sexual intercourse no sacrifice. 

Monsieur M. wrote more particularly on the sub- 
ject. He said, that at the age of thirty- two, being 
bound by a vow of celibacy, he began to feel the ac- 
tion of the reproductive organs very intensely, and 
that his health was thereby mjured. 

At this period he fixed his eyes on two women, who 



^16 ADVAKTAGES OF MARRIAGE. 

made sach an impression on him, that they appear- 
ed to be illuminated, and to glitter with an electric 
fire, so that he retired, thinking that it was an illu- 
sion of the devil. 

He had then violent contraction and tension of the 
limbs, which were succeeded by delirium; and after- 
wards his imagination was assailed by obscene images, 
suggested by the desires of nature. 

In a word, continence to his body was obscenity to 
his mind, and made him most miserable. 

The confessions of Anselmo, an austere and virtu- 
ous man, are further eminent illustrations to the 
same effect. Also the memoirs of Catineau. 

And likewise the admissions of an exalted father, 
who exclaims, '*^0h, how often have I, when settled 
in the desert — in that vast solitude which, burned up 
by the solar heat, affords to monks a horrid habita- 
tion — how often have I imagined myself to be for a 
moment in the midst of Roman pleasures. But I sat 
alone, because my heart was full of woe and bitter- 
ness. My members deformed as they were, abhorred 
the sack which invested them, my shriveled flesh felt 
the thirst of Ethiopic fire. Daily tears, daily groans, 
were mine; and if dear sleep oppressed me, I slid my 
scarcely adhering bones down upon the naked ground; 
my mind was full of dreams at variance with my vow. 
I, therefore, who for fear of hell, had condemned my- 
self to such imprisonment — the companion only of 
scorpions and wild beasts — did often, in imagination, 
find myself amid the choirs of maidens. Pallid was 



ADVA.KTAQES OF MARRIAGE, 2l7 

I with fastings, and in a frigid body, yet my mind 
burned with desires — the flesh being dead before the 
man, the fires of lust alone boiled up; and thus must 
it be with all who, like me, endeavor to sacrifice the 
flesh to the spirit." 

Nor is the case better with the other sex. 

Indeed if anything, the images of the mind of the 
woman are more intense, as she has fewer objects to 
distract her attention, and hence she is the greater 
sufferer by absolute continence. 

Languor, melancholy, uneasiness and haziness, are 
earliest symptoms of suppressed desire in females; 
then chlorosis; then probably death, unless her pass- 
ion finds vent in marriage — or in a solitary practice, 
the evils of which are fully considered further on. 

Having thus, in the difficulties of continence, illus- 
trated the necessity of marriage, I will now proceed 
to give some instructions as to the best mode of choos- 
ing an appropriate partner. And these instructions 
may easily be taken advantage of, unless where matches 
are. made in an indecent hurry. 

We may be told that love is blind, and will not be 
advised or taught on such a subject. 

We insist, however, that he would be advised, if he 
knew beforehand that the parties inspired by him 
were physically and mentally disagreed to such an ex- 
tent that the objects for which they were chiefly 
brought together could never be duly consummated. 

This may be a good place to state that nymphoma- 
nia, uterine epilepsy, uterine colic, virgin convulsions. 



21 S IN-TEEMARRIAGE. 

hysterics and otlier morbid affections, are cured by 
marriage, and effectually so by no other remedy. 

Nor is this all,for marriage purifies the complexion^ 
removes blotches from the skin, invigorates the mus- 
cles, makes the carriage erect and free, and, in fine, 
is the principal medium through which nature makes 
the human species tranquil, healthy, and even hap- 

py. 

I/OVB MATCHES. 

It is an old saying that love matches are seldom or 
never happy. 

By this rule hate matches would promote the pleas- 
ures of matrimony. The idea is absurd. 

Unless there is love before marriage, there is sel- 
dom any feeling warmer than moderate friendship 
afterwards. 

COUBTING. 

In Wales and Holland the young people have a 
way of courting in which they go to bed together and 
discuss the preliminaries of marriage 

The Dutch and Welsh contend for the morality of 
this fashion, and maintain that it never results in 
anything wrong, 

IinEBMABBIAGE. 

When two persons of parallel dispositions or ap- 
pearance are united, it is common to observe that 
they are a well matched couple. 

In fact, however, they are not, and the very re- 
semblance which seems to claim admiration is a strong 
ground for saying they are unsuitable companions. 



INTERMARRIAGE, 219 

The profound physiologist will readily admit the 
justness of this assumption, and that marriages are 
most happy, and most productive of healthy and 
handsome offspring when the husband and wife differ 
not only in mental conformation, but in bodily con- 
struction. 

A melancholy man should mate himself with a 
sprightly woman, and vice versa; for otherwise they 
will soon grow weary of the monotony of each other's 
company. 

By the same rule should the choleric and the patient 
be united, and the ambitious and the humble; for the 
opposites of their natures not only produce pleasure- 
able excitements, but each keeps the other in a whole^ 
some check. 

Had Macbeth been married to a person of a dispo- 
sition less aspiring than his own he would never have 
murdered King Duncan. 

In the size and form of the parties the same princi- 
ples hold good. 

Tall women are not the ideals of beauty to tall men 
and if they marry such they will soon begin to imagine 
greater perfection in other forms than in those of their 
own wives. 

And this is well ordered by nature to prevent the 
disagreeable results which are almost certain to grow 
out of unions where the parents have a strong resem- 
blance . 

For instance, tall parents will probably have chil- 
dren f.aller than either, and mental imbecility is the 
usual attendant of extreme size. 



S20 Iin:EEMAEEIA01. 

The union of persons prone to corpulency, of dwarfs 
etc., would have parallel results; and so likewise that 
of weakly or attenuated couples. 

To use a lucid but homely phrase, the "breed should 
be crossed" to make it good. 

Thus, the tall should marry the short — the corpu* 
lent the lean — the choleric the gentle — and so on; and 
the tendency to extremes in the parents will be cor- 
rected in the offspring. 

We do not mean to produce any ridiculous associ- 
ations in the reader's mind by advancing that Brob- 
dignags should marry Lilliputians — man-mountains 
united to shadows, but that the choice of partners 
should be so regulated as not to propitiate the birth 
of semi-monsters, for parents prone to corpulency be«^ 
get flabby and shapeless infants. 

Where the parents are alike of cold and unexcitable 
natures, their children are likely to be subject to id- 
iocy; the issue of a very ill-tempered couple will prob- 
ably be a semi-brute; and melancholy fathers and 
mothers produce hyprochondriacs and objects for su- 
icide. 

Apart from these serious considerations, there are 
reasons why persons of the same disposition should 
not be united in wedlock, as explicit as the subject 
deserves. 

An amiable wife to a choleric man is like oil to 
troubled waters, an ill-tempo'ed one will make his 
life a misery and his home a hell. 

The man of studious habits should marry a woman 
of sense and spirit, rather than of erudition, or the 



IKIERMARRIAGID. 221 

union will increase the monotony of his existence, 
which it would be well for his health and spirits to 
correct by a little conjugal excitement, and the man 
of gloomy temperament will find the greatest relief 
from the dark forebodings of his mind in the society 
of a gentle but lively and smiling partner. 

Further, in wedlock ''like love not their like" so 
well as something of an opposite nature to excite 
them. 

Timid maidens are most affected to brave men; 
sages, to good housewifes who love their domestic 
duties better than books; and men of blunt disposi- 
tion can best appreciate the graces of refined wives. 

In a word, the affections of antipodal natures sym- 
pathize most dearly; a partial illustration of which 
may be seen in the fact that the greatest philosoph- 
ers find their sweetest relaxation in the prattle of child- 
hood and a yet apter one in the equally incontestible 
fact that the bully of the school and the gentlest of 
the boys usually select each other for companions. 

However, in some particulars the dispositions and 
constructions of married people must assimilate, or 
they will have but few enjoyments in common. 

The man of full habits and warm nature had bet- 
ter remain single than unite his destinies with a wo- 
man whose heart repulses the soft advancements of 
love; and the sanguine female, in whose soul love is 
the dominant principle, should avoid marriage with 
a very phlegmatic person, or her caresses instead of 
being returned in kind, will rather excite feelings of 
disgust. 



INTERMARRIAGE. 

Thus the discriminations to be made in the choice 
of a partner are extremely nice, and can hardly be ex- 
plained in writing; but nature, assisted by the fore- 
going hints, will be a sufficient guide. 

Lest the reader should say, you first advise persons 
of opposite dispositions to marry, and then advise 
them otherwise, let me add that the opposite natures 
must excite, not shun each other. 

Thus the bold and timid will sort well in wedlock, 
as their natures, though opposed in their general fea- 
tures, may unite in love, but the very lymphatic 
and the very sanguine should by no means come to- 
gether, as they can have no sympathies in common on 
the point which is matrimony's principal charm and 
grand consummation. 

But nature generally assists art in the choice of 
partners. 

We instinctively seek in the object of our desires 
the qualities which we do not possess ourselves . 

To the fair of both sexes the brunette complexion 
is most engaging, and vice versa; and the same prin- 
ciple governs throughout — alike in physical and moral 
conditions. 

Thus the slender affect the plump ; the tall the 
shorter; the impassioned the mild; the boisterous; 
the calm; and so on to the end of the chapter. 

And this is a most admirable arrangement of Prov- 
idence, as it establishes an equilibrium and prevents 
people from tending to extremes; for it is known that 
unions of dwarfs are fruitful of dwarfs, that giants 
proceed from the embrace of giants; and that the off- 



INTERMARRIAGE. 223 

spring of parents alike irritable, alike passive, alike 
bashful, etc., inherit the prominent qualities of both 
to such a degree as to seriously interfere with their 
prospects in the world. 

It has another advantage. 

Through its means * 'every eye forms its own beau- 
ty," Hence, what one person rejects is the beau-ideal 
of another's conceptions; and thus we are all provided 
for. 

This difference of tastes has been a stumbling block 
with writers in all ages. 

They could not divine why an object that was beau- 
tiful, or the reverse to one, was not the same to all. 

But had they thoroughly investigated the matter, 
they would have perceived that a manifest design 
was at the bottom of it, and that in this variety of 
tastes nature was wisely accomplishing her own ends. 

Many physiologists have argued that like does not 
produce like; but the testimony of all experience is 
against them. 

See, for instance, the children of red haired pa- 
rents, of those who have supernumerary toes etc., 
and the reader will require no further evidence of 
the invalidity of their doctrine. 

But the main proof of my assumption, and the 
grand argument in favor of uniting opposites, is to be 
found in the evil consequences attending marriages 
among blood relatives. 

Here is generally a moral and physical resem- 
lance between the parties which is almost sure to en- 
tail suffering on their offspring. 



224 INTERMABRIAGE. 

This is strongly illustrated in the degeneracy of 
royal and noble families who marry among each 
other. 

In Spain, where the proud old Hidalgos carried this 
absurdity to its greatest height, the race at length 
became so ugly, puny and imbecile, that to be dwarf* 
ish and hideous was considered an evidence of nobil- 
ity; and when strength and beauty graced the offspring 
of rank the mother's fidelity was more than suspect- 
ed. 

The Hidalgos, to avoid all risk of ignoble admix- 
tures, not only married their own blood relations, but 
confined their choice to first and second cousins; nor 
was the sad result to be seen alone in decrepit off- 
spring, but also in the birth of hopeless idiots, 

Royal families take a wider range, but still not suf- 
ficient to insure bodily and mental vigor. 

Hence they are for the most part afflicted with he- 
reditary diseases, but more than all with Scrofula^ 
which is one of the most offensive that pertains to hu- 
man nature. 

The injurious results of a union between persons 
having a close moral and physical resemblance will be 
augmented if there should also exist a close kindred- 
ship of blood. 

But here nature again kindly steps in to arrest the 
evil — for married relatives, near of kin, have rarely 
if ever numerous progenies, owing probably to the 
fact that, being for the most part of a like form and 
disposition, the one cannot frequently cause m the 



INTERMARRIAGE. 226 

other that state of excitement which is necessary to 
the ends of reproduction. 

In fine, with man as with animals, the best way to 
improve the breed is to cross it — for the intermar- 
riages of like with like and relative with relative, not 
only causes man to degenerate, but if the system be- 
came universal, wo aid in time bring the human race 
to a termination altogether. 

But, to the main subject of this chapter, namely: 
the choice of partners. 

A male or female with a very low forehead should 
carefully avoid marriage with a person of like confor- 
mation, or their offspring will, in all probability, be 
weak minded, pei'haps to partial idiocy. 

The system of crossing is so perfect that marriages 
between persons who are natives of different countries 
are likely to be pleasant and fruitful. 

Speaking on this subject, an English writer says, 
"The Persians have been so improved by introducing 
foreigners to breed from, that they have completely 
succeeded in washing out the stain of their Mongolian 
origin." 

And the same author adds to the effect th&t in 
those parts of Persia where there is no foreign inter- 
course the inhabitants are sickly and stunted, while in 
those that are frequented by strangers they are large 
and healthy. 

To make what is called a **handsome couple" the fe- 
male should be about three inches less than the male, 
and if the parties are proportionately developed 



226 INTERMARRIAGE, 

throughout their system, this selection may be found 
of advantage in other matters besides appearances. 

Wide haunches in a man, as well as being a deform- 
ity, argue flabbiness and a weak overgrowth in the 
procreant function. 

On the contrary they are a beauty in women, and 
a proof that the reproductive organs are well develop- 
ed. 

Hence, a strong and amorous man would not do well 
to marry a female with narrow haunches; for though 
such a pair may be equal to the consummation of 
marriage, there is almost certain to be a difficulty at 
the time of delivery, especially if the child should be 
robust in proportion with the father. 

It may be as well to say here, that a female with 
narrow haunches should unite herself with a person 
of delicate bodily construction, not only in reference 
to certain rights, but because the offspring of such a 
person is likely to be small, and hence suited to the 
peculiarity of her conformation. 

This may seem to the general reader a little thing 
to be so especial about; but it involves advice of great 
importance to one for whom it is intended. 

For instance, a woman with narrow haunches al- 
ways suffers much on delivery; the giving birth to 
large children seriously effects her health and wrecks 
her constitution; and it constantly happens in such 
cases that delivery cannot be affected at all, unless by 
operations which must destroy the life either of the 
child or the mother. 



Ii?-TERMA.RRIAGB, 237 

No matter how delicately formed a female may be 
in other parts, if her haunches are wide, the attri- 
butes thereunto pertaining regular and proportionable, 
she need not be afraid to marry a giant. 

We use the word haunch in its largest sense — that 
is to express the hip and fore and hinder part; or in 
other words, to take in the whole circumference of 
the pelvis. 

''A well formed woman," says a modern physiolo- 
gist, '* should have her head, shoulders and chest 
small and compact; arms and limbs relatively short; 
the haunches apart; her hips elevated; her abdomen 
large, and other things voluminous." 

Hence she would taper from the center up and 
down. 

Great hoUowness of the back, the thighs against 
each other in walking, and the elevation of one hip 
above the other are indications of the ^'malformation 
of the pelvis. " 

From the same writer I take the following, which 
is applicable here; it is very correct in its estimates 
of beauty in both sexes : 

The length of the neck should be proportionately 
less in the male than the female, because the depen- 
dence of the mental system on the vital one is natural- 
ly connected with the shorter courses of the vessels of 
the neck. 

The neck should form a gradual transition between 
the body and head — its fullness concealing all promi- 
nences of the throat. 



%%S INTBRMAREIAGB. 

The shoulders should slope from the lower part of 
the neck, because the reverse shows that the upper 
part of the chest owes its width to the bones and 
muscles of the shoulders. 

The upper part of the chest should be relatively 
short and wide, independent of the size of the shoul- 
ders, for this shows that the vital organs which it 
contains are sufficiently developed. 

The waist should taper little farther than the mid- 
dle of the trunk, and be marked especially in the back 
and loins, by the approximation of the hips. 

The waist should be narrower than the upper part 
of the trunk and its muscles, because the reverse in- 
dicates expansion of the stomach, liver and great in- 
testines, resulting from their excessive use. 

The back of woman should be more hollow than 
that of man; for otherwise the pelvis is not of suf- 
ficient depth for parturition. 

Woman should have loins more extended than man 
at the expense of the superior and inferior parts for 
this conformation is essential to gestation. 

The abdomen should be larger in woman than in 
man for the same reason. 

Over all these parts the cellular tissue, and the 
plumpnessconnected withit, should obliterate all dis- 
tinct projection of muscles. 

The surface of the whole female should be charac- • 
terized by its softness, elasticity, smoothness, delicacy, 
and polish, and by the gradual and easy transition 
between the parts. 



INTERMARRIAGE. 229 

The moderate plumpness already described shoiild 
bestow on the organs of the woman great suppleness. 

Plumpness is essential to beauty, especially in 
mothers, because in them the abdomen necessarily 
expands, and would afterwards collapse, and become 
wrinkled. 

An excess of plumpness, however, is to be guarded 
against. Young women who are very fat are cold, 
and prone to barrenness. 

In no case should plumpness be so predominant as 
to destroy the distinctness of parts. 

A male and female formed on the above models 
would be well matched, and have fine children. 

If a female throws her feet much to the rear in 
walking, her knees are inclined inwards. A woman 
that marches, rather than walks, has large hips, and 
a well-developed pelvis. 

If she moves along trippingly on her tip-toes, a 
large calf and strong muscles are indicated. 

The foot lifted in a slovenly manner so as to strike 
the heel against the back of the dress, is a sure sign 
of a small calf and pelvis. 

A heavy walk, when there is but little spring on the 
toes, evidences a slender ness and weakness of limbs. 

When the foot and ankle assume a bony appear- 
ance, and the heel strikes the ground before the ball 
or edge of the foot, they indicate that the female has 
passed the meridian of life, no matter how other ap- 
pearances may weigh against this. 

Blue eyes should marry black; for when persons 



230 WHAT AGE TO MARRY. 

both having blue eyes are united, their offsprings are 
apt to have very light hair and a tendency to blind- 
ness. 

When a person is of consumptive habits, this is a 
peculiarly important consideration, for it is known 
that in consumptive families hazel and black-eyed 
children die, while the blue-eyed live. 

Hence, a man or woman having dark eyes and a 
consumptive tendency, should choose a blue-eyed 
partner. 

However, we by no means advise consumptive per- 
sons to marry at all; that is, unless the disease be ar- 
tificially produced and not hereditary; for in the 
former case matrimony may be of service, and has 
been known to produce a permanent cure, even when 
all other applications have failed. 

The person who studies this book thoroughly will 
not be easily deceived in the make, form, or internal 
conformation of either male or female, though hav- 
ing to judge of them outside their dress. 

The moral qualities are matters to be discovered by 
parentage, time and conversation. 

And thus advised, there cannot be much difficulty 
in bringing about matrimonial arrangements, so as to 
"cross the breed," which as we have clearly shown, is 
a consideration of much importance in married life. 

AT WHAT AGE TO MARRY. 

Very early in life, varying from ten to sixteen years, 
begins to be felt the anxiety of the sexes to be to- 
gether, and were people more robust as they might 



WHA.T AGE TO MARRY. 231 

be — did they live in a simple state of nature, and 
without suffering the fatigues and hardships general- 
ly experienced in savage life — the chances are that 
their desires might be consummated as well then as in 
after years, and without the incurring of physical 
injury. As it is, however, there is a serious day of 
reckoning for early indulgence; for precocious per- 
sons — unless their constitutions are as powerful as 
their desire — who give way to their passions at first 
exactions, barter their youth for their enjoyment, and 
are old and weary of the world at an age when people 
of more moderate habits are only in the meridian of 
pleasure and existence. 

It has been written over and over again that in 
Arabia^ and other warm climates, girls of twelve, and 
boys of fourteen, are ripe enough for marriage. In 
their affections they may be — for there, in a warm 
climate, it effects an undoubted influence, but other- 
wise, they are unsuited for such a change of life; for 
early communion of the sexes is as productive of 
physical prostration in sultry latitudes as in other 
places. 

The proper age to marry, all over the world, is be- 
tween twenty-five and thirty for men, nineteen and 
twenty-five for women; and in fact, previous to the 
age of twenty-five and nineteen, they are, as a gen- 
eral rule, inadequate to the requirements of matri- 
monial intercourse. Some young men who imagine 
that early development of the passions is a proof of 
manhood, will not be ready to admit this, but we can 
tell them that their strength to accomplish does not 



232 WHAT AGE TO MAEET. 

keep pace with their will to dare. Hence boys who 
marry derive but little enjoyment from the connubial 
state; and the ladies who unite themselves with juve- 
niles become disappointed, and suspect their husbands 
of incapacity — (we dare not give it a more appropri- 
ate title) — whereas, the only thing they are deficient 
in is age. Many a separation, and even elopement 
has been thus occasioned; and the offspring of such 
marriages is usually puny and consumptive. 

Further, men who marry too young, unless they 
are of cold and phlegmatic constitutions, and thus 
moderate in their conduct, become partially bald dim 
of sight, and lose all elasticity of limb in a few years; 
while women in a like position rarely have any bloom 
in their cheek or fire in their eye by the time they 
are twenty-five. And all profound physiologists a- 
gree that, from the same cause, the mental faculties 
suffer in the same ratio. 

A medium, however, is to be observed. It is not 
well to defer till middle age the period of connubial 
intercourse; for too tedious spinstership is as much 
calculated to hasten the decay of beauty, as too early 
a marriage. Hence, there is rarely any freshness to 
be seen in the maiden of thirty, while the matron of 
that age, if her life has been a happy one, and her hy- 
menial condition of not more than ten years standing, 
is scarcely in the hey-day of her charms. And the same 
rule will apply with equal force to the other sex, for 
after the first prime of life, bachelors decay and grow 
old much faster than married men. Hence says the 
poet. 



WHAT AGE TO MARRY. 2S3 

'*Oonnubial pleasures keep men in their prime, 
While those who shun them, wither ere their time." 

The rich are qualified for marriage before the poor. 
This is owing to the superiority of their aliment; for 
very nutritious food and the constant use of wines, 
coffee, &c., greatly assist in developing the organs of 
reproduction; whereas the food generally made use of 
among the peasantry in most countries, as vegetables, 
corn, milk, &c., retards their growth. Owing to this 
difference of diet, the daughter of a man of wealth, 
who keeps a good table, will be as adequate to certain 
duties of married life at eighteen, as the daughter of 
a humble peasant at twenty one. Singular as it may 
seem, it is none the less true, that love, novels, amor- 
ous conversations, playing parlor games for kisses, 
voluptuous pictures, waltzing, and in fact all things 
having a tendency to create desire, assist in promot- 
ing puberty, and preparing young persons for early 
marriage. Those who reach this estate, however, by 
artificial means and much before the natural period, 
will have to suffer for it in after life. 

Maidens suffering from peculiar diseases, as 
nymphomania, uterine epilepsy, green sickness (which 
is mostly the result of love,)virgin convulsions, &c., 
should be married as soon as possible, though they 
have scarcely passed the term of puberty, for mar- 
riage is a certain cure in these complaints, and cannot, 
at this period, do as much evil as it will effect good. 

The female who marries before the completion of 
her womanhood — that is before her puberty is estab- 
lished — will cease to grow, and probably become pale 



234 FACTS OF IMPOETANCB. 

and delicate, the more especially if she becomes preg- 
nant soon after marriage. A person thus circumstanc- 
ed will also be liable to abortion, and painful deliver- 
ies. In fine, unless under very peculiar circumstances 
indeed — such'for instance, as may be involved in the 
afflictions noticed in the preceding paragraph — 
marriage should not take place until two or three 
years after puberty. Let us, therefore, advise the 
male reader to keep his desires in leading-strings un- 
til he is at least twenty-five, and the female not to en- 
ter within the pale of wedlock until she is past her 
eighteenth year; but after those periods, marriage is 
their proper sphere of action, and one in which they 
must play a pcirt, or suffer actual pain, as well as the 
loss of one of the greatest ot earthly pleasures; for Na- 
ture is a tyrant, and will not be deprived of this, 
perhaps the most imperative of her claims, with 
impunity. 

Facts of Much Importance to Both Sexes. 

The knowledge contained in this chapter is the re- 
sult of many years' research, thought and experienct • 
It contains much that will be new to the reader, but 
nothing is authoritatively advanced, the truth of 
which we have not fiarly tested. Young physicians 
will be pleased to find so much that they should know 
in a few words, for the chapter contains nearly every- 
thing worth seeking for, connected with the subjects 
it treats of, and many things not considered, or even 
hinted at, by previous physiologists. 



IBUITFUL MONTHS, 235 

ON PHYSIOLOGY. 

Physiology is the science of life — life itself being 
an aggreate of phenomena, which manifest them- 
selves in organized bodies. Some philosophers hold 
the opinion that it is merely the effect of the play of 
the element on certain combinations of matter, and 
that there is no such thing as a living principle. This 
theory, however, is easily disproved; but not by the 
substitution of any which explains the mystery of sen- 
tient existence, 

OBSTRUCTIONS. 

Should any unexpected barriers be discovered to 
the consummation of the rights of marriage, a physi- 
cian should be consulted without delay. A false 
modesty in such cases may be productive of the most 
serious consequences. The Duchess de Berri is a 
case in point. After being married about six weeks, 
she was on the eve of separating from her husband, 
when one of the ladies of the court learned the cause, 
and prevailed on her to consult one of the faculty, 
who soon set all right. However, both the duke and 
duchess had suffered much through their delay or 
ignorance. 

THE FRUITFUL MONTHS. 

It is estimated that the healthiest children are born 
in February, March, April and May. Consequently, 
May, June, July and August must be the months 
most auspicious to conception. This is merely the 
popular opinion, but Dubois, La Basche, and the 
skillful writer Le Temps assert that their experience 
corroborates. 



^6 HABITUAL MISCAERIAQE8. 

TWINS. 

A female may have twins, the offspring of differ- 
ent fathers. Thus, a woman in North America, be- 
ing delivered the same day of a black and white infant, 
acknowledged that nine months before she had been 
with her husband and a negro slave. In births where 
one child preceeds the other for one or two months, 
it is fair to suspect adultery. 

Indeed, the infants themselves mostly give evi- 
dence of a different male parentage. 

MAERIAGE AND POETRY. 

Marriage "blunts the imagination, A married wri- 
ter of fiction must hold Hymen in check, or weary 
his readers; and poetry is almost irreconcilable with 
the state of wedlock. 

Schiller observes, that one cannot woo his wife and 
the muses; and there is, no doubt, much philosophy 
in the assumption. 

Thus it would seem that poetry is the escape of 
love when not otherwise directed. 

IDEAS OF BEAUTY. 

Men of poetical or sanguine temperament prefer 
the beauty of the face. 

Those of stronger animal propensities, the beauty 
of form. 

The latter make the most attentive husbands, as 
they are most content with the realities of life. 
habituaij miscarriages. 

The force of habit is such in women, that when a 
female once miscarries she will always be liable to 
misscarry when the same stage of pregnancy occurs. 



EESEMBLAKCKS. ^d1 

OOIiOB OF THB SKIN. 

The complexion of the sKin depends on that of the 
rete mucosum, a glutinous substance that lies be- 
tween the under and outward skin. In blacks this 
membrane contains an inky fluid, which is ascribed 
to carbon and the increase of bilious secretions in hot 
climates . 

Puberty. 
At the time of puberty the blood of both sexes tends 
towards the parts subservient to reproduction, which 
causes these organs to awake from their torpor and 
expand. 

The Haib. 

A profusion of hair is a sign of an amorous dispo- 
sition, as is also a rough husky voice. When a man 
is castrated he loses his beard, and his voice grows 
feminine. He is also liable to periodical hemorrhages, 
like the other sex. Likewise he becomes artful, de- 
praved and foolish. 

Besemblanoks. 
Children should resemble both parents, or there 
may be a fair doubt of their legitimacy. However, 
notwithstanding the theories of Straus, Gutilett and 
Walker the rule is not imperative; for we, and others, 
have seen infants who, in face or form, bore not the 
slightest similitude to their female parents; which 
must be taken as proof positive in the premises. Still, 
this so rarely occurs as to be only the exception to the 
rule. 



338 LOITG COURTSHIPS. 

EBNEWING lilPB. 

In 1677, France was thrown into a state of great 
excitement, by the publication of a theory of life by a 
physician named Richard Lower, who contended 
that life might be renewed and prolonged indefinitely, 
by transferring the blood of young into old people. 

The system was first tried on dogs, with — accord- 
ing t«7 Lower — ^the most successful results. However, 
it not only failed, with men, but in some instances, 
it came nearly killing those who were candidates for 
immortality, owing to the difference of the tempera- 
ment between the receiver and giver of the blood. 
Nevertheless, the doctrine continues to be steadily 
maintained by some visionaries, with this saving 
clause, that the party who received the vital fluid, 
must have been of the same habits, temperament, 
state of health, etc., when at the same age of him who 
yielded it, 

LONG OOUKTSHIPS. 

Beware of long courtships, for there are so many 
slips between the cup and the lip, that it is almost as 
well to marry in haste and repent at leisure. 

PERIOD OF CHILD-BEARING. 

Women may be ten, eleven, and even twelve months 
in a certain condition, the ignorance whereof causes 
much domestic trouble, and has occasionally been the 
means of divorces. On the contrary, full grown chil- 
dren may be born in the seventh month after concep- 
tion, and some say in the sixth or even less, but we 
doubt them. At least, out of all our experience, we 
never had personal knowledge of a case of the sort 



BAD HABITS. 339 

but one, and then we had our suspicions, grounded 
on various circumstances apart from the main one, 
which were rather unfavorable to the lady's char- 
acter. 

Excesses. 

Beware of youthful excesses, for sooner or later 
they have to be paid for. 

A great English philosopher truly says, *'the de- 
bauches of youth are so many conspiracies against 
old age." 

GEEEN SICKNESS. 

One of the most active causes of laborious or ob- 
structed menstruation is disappointment in love, and 
a transfer of the affections would work a cure with- 
out any other remedy. 

BAD HABITS. 

There is but one mode in which the sexes of the 
human race can know each other without the sacri- 
fice of pleasure, and probably risks of yet greater im- 
portance, and that mode is dictated by nature. 

Valsalva and others assumed that monstrous births 
were often occasioned by shunning the advice of na- 
ture in this particular, 

GBEEX SICKNESS. 

Suppressed catamenia, excessive menstruation, dys- 
pepsia, and other causes, occasionally produce green 
sickness, which may be detected by the pale, lurid 
and greenish cast of the skin; but the leading cause 
is disappointment in love, or in other words inability 
to obtain the object of one's desires; for it rarely af- 
fects either sex until after the age of puberty, and 



240 THE HYMEN, 

then it is known to have a manifest inBuence over 
the prolific organs. For this disease, when occasion- 
ed by love, cooling aperients, and the daily use of a 
bidet of cold water used unsparingly, and meager di- 
et, may be of advantage; but a more certain remedy 
will be found the preceding page, 

LIVING BODIES. 

*ill living bodies spring from a germ which was 
part of another being. This rule holds good through- 
out the vegetable and animal kingdom. 

FOR AND AGAINST. 

Consumption in either sex has been corrected by 
marriage. The chances, however, are in favor of fe- 
males, for it has been known to bring the decay of 
man to a hastier climax. 

THE HYMEN. 

The existence of the hymen in woman is no certain 
evidence of virginity — neither is its absence of deflor- 
ation. 

l[!oung females may be deprived of it by illness; and 
it has been found in ladies at the period of delivery. 
However, these are the exceptions, and very rare 
ones. 

As a general rule the hymen indicates the maiden 
and vice versa, so that a man missing it on marriage 
may have good grounds for suspecting his wife's 
chastity, unless she can otherwise explain the cause 
of its absence. 

COQUETET. 

Beware how you marry a confirmed coquet; for her 
manners are not so much the result of af ectation as 



TEETHIKQ. 341 

as the actual changes of her mind, and her phreno- 
logical developments will show that constancy is not 
in her nature, 

Baillie had, no doubt, good grounds for saying that 
a confirmed coquet would rather have any man than 
her husband, after the first six months of marriage. 

LONGING FOB MARBIAGE. 

Young unmarried ladies, from the time they arrive 
at the age of puberty, think and talk about little else 
besides love, and its attributes. 

Young men, however, though they have other ob- 
jects of pursuit, are more carried away by the passion. 

When crossed in love, a woman becomes melan- 
choly, a man insane. 

TEETHING. 

The small molar teeth appear between the age of 
eighteen months and two years, and then the first 
dentition is complete, and the child's life m ore secure 
Convulsions and diarrhoea are the most fatal accidents 
attending dentition, and call for all the nurses care. 
Teething children are often lost by neglect or ill ad- 
vice. Perhaps the best of remedies is Mrs. Whitcomb's 
Syrup — the infant's and children's great soothing re- 
medy. It is sold by all medicine dealers. Price 
twenty-five cents per bottle. 

SENSATIONS. 

Infants laugh toward the middle of the second 
month, which shows that they begin at that period 
to be capable of agreeable sensations. Not to smile 
at that time, or very soon after, may be taken as an 
evidence of sickness. 



342 MERCURY. 

MEBCI7BY. 

Mercury in its metallic state, exerts no action on the 
animal economy. It has, nevertheless, been admin- 
istered in large doses, with a view of operating me- 
chanically, and overcoming by its weight, obstruc- 
tions existing in the ileus, but as it cannot act by its 
gravity on the ascending part of the bowels, it is not 
easy to conceive how it should have ever been recom- 
mended; and the issue of the cases in which it has 
been given, have sufficiently proved the futility of the 
practice. 

It was formerly thought that mercurial prepara- 
tions constituted an unfailing specific for every form 
of the venereal disease, and that unless this mineral 
were administered freely, it was the nature of syph- 
ilitic affections to go on progressively from bad to 
worse, till the end was the infallible destruction of 
life. And during the middle of the last century, as 
well as later, when the doctrines of the celebrated 
Hunter were received with implicit submission, when 
medical practitioners bowed contentedly to the au- 
thority of great names, not daring to think for them- 
selves, or to acquire from patient and personal obser- 
vation, correct notions of the progress of diseases and 
the action of remedies; during the existence of such 
a state of things, doubtless many unfortunate victims 
of venereal contagion have perished, not so much 
from the virulence of the affection as from the incau- 
tious and injudicious operation of active and danger- 
ous, as well as deadly agents, employed professedly 
for ite cure. (At that time it was thought that if any 



MERCURY. 24'^ - 

sore, the result of impuie coition, were observed to 
heal without mercury having been given, that it 
could not have been venereal, nor likely to be followed 
by any constitutional symptoms.) 

When we take into consideration the variety of 
forms under which syphilitic disease is cloaked, and 
the general treatment, we cannot but deplore the 
great loss of life, which is daily occurring from the 
use of that mineral, which is constantly administered 
by medical men at the present day; the blood is poi- 
soned by it, and by being so, it conveys wherever it 
travels in the arteries and veins, the seeds of disease. 

The blood thus poisoned goes to the heart, and 
diseases of this organ are the consequences; it goes to 
the lungs, aad this organ becomes morbidly deranged 
in fact, to whatever part of the system it travels, there 
it lays the foundation of disease. In cases like these 
it was formerly the custom of the faculty not to rid 
the system of the poison which is destroying the un- 
happy sufferer by inches, and preying upon his vitals, 
but they have pursued a course of treatment as incor- 
rect in sound theory, as it is repugnant to human- 
ity and common sense. 

One would have supposed that some drug would 
have been administered to counteract the effects of 
the poison circulating in the veins. Not so ! Instead 
of so doing, poisons were thrown into the system, in 
the shape of arsenic, and other mineral poisons; so 
that the unfortunate sufferer, instead of being bene- 
fited was doomed to pass years of misery and unhap- 
piness. In treating the venereal disease, it used to 



244 MERCUEY. 

be (and I am sorry to say it is to some extent at the 
present) the practice always to throw into the system 
immense quantities of mercury. And what were the 
consequences of this unnatural and inhuman mode of 
treatment? The unfortunate being had caries of his 
his bones, copper colored eruptions made their ap- 
pearance all over his body, with running sores in the 
neck, and distorted features. 

Yes, the rotten skulls which are to be found in 
anatomical museums, with all the other beautiful 
specimens of diseased bones, which in our younger 
days were so abundant in hospitals, in the great ma- 
jority of cases were the production of long and har- 
assing courses of mercury. 

Its rash, indiscriminate use is the means of infinite 
mischief. Under the notion of its being an antidote 
for a certain disease, the untutored think they have 
only to saturate their system with mercury, and the 
business is accomplshed. Fatal error! Thousands are 
yearly either mercurialized out of existence, or their 
constitution so broken, and the functionof nature so 
impared, as to render the residue of life miserable. 
For where is the practitioner of any eminence, whose 
experience beyond a first or second slight infection, 
has not seen the inefficiency of this boasted mineral? 
If physicians and surgens, those of them who have 
the care of hospitals in particular, were candid 
enough to give the public all the information they 
could upon this head, it would be as generally known 
as it is true, not only that mercury frequently fails 
in cases where the infection has been contracted for 



MERCURY. 345 

the first time, and that as it loses its energy by repe- 
tition (not indeed against the constitution but against 
the disease alone,) the cure becomes at each succeed- 
ing infection more dangerous, difficult and uncertain 
than the last; but that instances every day occur, in 
which the excessive exhibition of that mineral seems 
to retard the cure, and be the only obstacle to entire 
removal of the diseases; instances in which the 
patient, reduced by disease and the remedy together 
to such a state, that certain death must follow any 
longer persistence in the use of mercury, is sent to 
the country as a last resource, and there without any 
other remedy but the absence of mercury alone, re- 
covers his former health and strength. 

To give the reader an idea of its ill effects upon the 
system, I will here make an extract from a late pub- 
lication of the justly celebrated Professor of Surgery 
in London University College, Mr. Listen: ''Of the 
bad effects of mercury on the constitution, much ha 
been said; treatises have been written on mercurial 
pox, a species reported to be much the most violent; 
and others have detailed an accumulation of evils, 
under the title of mercurial disease. There is no 
doubt that extensive, deep and sloughy ulcers of the 
throat are produced by mercury, and of this I saw 
the following unexceptionable instance: The fauces 
presented one extensive mass of ulceration, slough- 
ing at itsmargins, and the uvula was almost detached. 
The patient was an old and emaciated woman who 
neither had, nor could be supposed to have, any ve- 
nereal complaint. She employed herself m coating 



346 MERCURY. 

mirrors with quicksilver, and to that ascribed her 
malady. In fact, her system had been long under 
mercury, in consequence of her occupation. When 
I visited her, her daughter and husband, [the latter 
of whom was paralytic, and almost bed-ridden,] were 
affected from the same cause, with a pustular erup- 
tion of the face, and disease of the nostrils and sniv- 
eling. Another old woman had numerous and deep 
ulcers of the fauces, tonsils and lips, having been 
kept unmercifully under mercury for nine continuous 
months. She had besides taken it, from time to time, 
for upwards of four years, though her sole complaint 
was a slight sore throat." Pains of the joints, too, I 
believe, are attributable to the use of mercury. That 
mineral has no power to prevent the occurrence of 
nodes, for these form during its action. Affections 
of the periosteum are easily excited in some people, 
who have neither had pox, nor made use of mercury, 
but in no instance of venereal disease have I observ- 
ed serious affections of the bones where it has not been 
given. Even the advocates for mercurializing, speak 
of mercurial nodes. It has been asserted, that nodes 
do not occur when mercury has been given for liver 
and other complaints; but they deform under such 
circumstances, though not so frequently as when the 
mediciue has been given during venereal symptoms. 
A cachetic state is often produced by a continued 
use of mercurial prej^arations, or at least by mercury 
and disease together, in constitutions not originally 
strong. It is marked by pale lips; bloodless conjunc- 
tiva; a rough anserine skin; a relaxed state of themu- 



MERCURY. Ht 

cons membranes; hemorrhage from them, particular- 
ly from the gums, which may prove fatal,^as I have 
myself witnessed; exfoliation of the alveolar process- 
es; slimy stools; pale urine; pains of the limbs; sores 
showing great indolence of action, or assuming a 
malignant one; dropsical symptoms, and other evils, 
of which a lengthened catalogue might be enumerat- 
ed. Such symptoms were often met with when mer- 
cury was exhibited for every trifling, or suspected 
sign of disease. 

On this subject, a modern waiter has well remark- 
ed, ^'experience has well convinced me that in no forms 
of chancre,nor in any other stages of the venereal dif- 
ease, is it proper to exhibit Mercury in the unmerciful 
quantity, andfor the prodigious length of time, which 
custom, ignorance, and prejudice, used to sanction 
in former days. Violent salivations ought, at all 
events, to be forever exploded.'' 

This woful picture is not exaggerated, and cannot 
be too strongly impressed on the mind. A small 
quantity of mercury will violently affect some con- 
stitutions, as of those who have been in warm cli- 
mates, or have taken much of the drug even in this 
country. 

There are also several diseased appearances of the 
skin caused bymercaj-y; but enough, it is hoped, has 
been said, to warn against this powerful agent, which 
it has been too much the custom, even in our own 
day, to make as common use of as the more simple 
contents of the domestic medicine chest. Let it always 



348 C01?^CEPTI0K. 

be remembered that in all its forms and preparations, 
mercury is a two-edged sword, and may affect as 
much or more e\il than good. And forget not. Oh! 
indulgent reader, that it is the active ingredient of 
nine-tenths of the quack nostrums for venereal dis- 
ease, though their vendors warrant them vegetable, 
but, **bv their fruits ye will know them." 

CONCEPTION. 

It often happens with newly married couples that 
the first year of their marriage is unfruitful on ac- 
count of their too frequent amorous embraces. Bon- 
aparte and Josephine seem not to have been adapted 
to each other, and though the former used various 
tinctures, borax, marjorum, etc., they had no off- 
spring; but both of them had issue when joined to 
other partners. Conjugal enjoyment on the part of 
the female should be followed by repose, as but very 
little motion or agitation in persons of warm temper- 
ament is sometimes sufficient to prevent the ovulum 
from reaching its proper location. 

A female desirous of conceiving must not cohabit 
too frequently for the first month after her supposed 
conception, as the spasmodic agitation consequent 
upon the embrace of a very amorous couple is calcu- 
lated to disturb the embryo in its earliest stage of ex- 
istence, and hence occasion abortion or miscarriage. 

Finally, the great cause of barrenness is weakness 
and debility on the part of the male or female or both, 
Dubois says that if this matter was attended to, nine- 
tenths of the people who are now pining for heirs 
might be blessed with numerous progenies. 



CONCEPTION. 249 

The principal causes of this debility are libertinism 
and that horrid practice of masturbation or self-abuse 
upon which we have treated at large in other parts of 
this worJi. Among the minor causes are tight-lacing, 
dancing immoderately, stimulating drugs, such as 
cantharides, arrow-root, tincture of lyttae, port 
wine, syrup of pine-apples, mushrooms roasted and 
steeped in salad-oil and borax. All these are worse 
than useless, for many of them actually injure the 
person , 

CTnprincipled quacks palm off their injurious and 
nauseating stuff for money; regardless of the lasting 
injury to those who are unfortunate enough to use 
them. Yet some of these remedies, sold for the cure 
of sterility, impotency, weakness or debility, diurnal 
and nocturnal emissions, or loss of semen, are actual- 
ly recommended by physicians, either from ignorance 
or self-interest. Some imagine there are fertilizing 
properties in duckweed, carrots, water-cresses, pota- 
toes, figs, dandelions, fish, eggs and hemp-seed. They 
are generally incentives to amorous feelings, but 
nothing more. In some countries the females swallow 
spiders, flies, ants, crickets and even frogs, to pro- 
mote fecundation. 

The most auspicious time for promoting genera- 
tion is in the morning. 

A female with a low womb, married to a muscular 
man, will probably fail in having an offspring if the 
difficulty is not corrected. 

It is a popular error that there is a mode by which 
male or female offspring may be produced at will. It 



250 CAUTION. 

is of no consequence whose theory of the mysteries of 
reproduction is correct, they are agreed on certain 
points which show this to be impossible. There are 
tolerably conclusive rules, however, for telling the 
sexes of children before they are born. Ladies expe- 
rience more sickness with boys than with girls, which 
may be caused by their geneially being larger and 
more lively. Their appetites generally vary, such as 
food that is hearty for one, and of a different kind 
for the other. A roundness of the form promises a 
boy; whereas, when the tendency is nearly all to the 
front; and the hips and back give but little evidence 
of the lady's situation, the great probability is that 
the little stranger is a girl. When a pregnant female 
is prone to sickness in the morning, longs for food of 
an invigorating quality, and carries her increase of 
form rather all around her than in any particulai 
place, the chances are altogether in favor of a boy; 
whereas, if her symptoms are otherwise, and as de- 
scribed above, she will, in all probability, be deliver- 
ed of a girl. 

CAUTION. 

A woman ought not to suckle a child when she is 
pregnant; it robs the foetus and injures both mother 
and child. The milk taken by a healthy infant is 
equal to about a third of the food taken by the moth- 
er. The foetus absorbs a portion of all the aliment 
the mother partakes of; and, therefore, pregnant 
women should be careful what they eat and drink. 



UNIOIf OF THE SEXES. 251 

UNION OF THE SEXES. 

The institution of marriage is not so well under- 
stood, or its advantages appreciated by unprofession- 
al men and women as it ought to be. Many men, 
desiring variety, imagine that the marriage tie is a 
curb, or restraint, which cuts short their pleasures, 
and that to have free range in "flowery plains and 
pastures new" is all that is required to consummate 
their earthly happiness. Independent of the continual 
risk of disease, this is a very erroneous view of a very 
important subject. 

While a few people are willing to speak openly 
against this noble institution, very many act, in se- 
cret, as if its vows, its duties and obligations were of 
mere nominal importance, and as if a breach of them 
was rather a subject for a joke than for serious re- 
proof. 

The physician knows that marriage is a true and 
natural bond. It may, indeed, be said that physical 
or sexual intercourse is the lowest form of wedded 
love. But this is not true. The physiological view 
of marriage is more important than is generally sup- 
posed; and the physical pleasures themselves, which 
rule and regulate the rest, are far from being the low- 
est. When we consider that the institution of mar- 
riage exists in some form or other among all races of 
mankind, it will be perceived that it is too deeply 
rooted to be overthrown by a mere form of words, or 
the style of casuistry, adopted by disputants who 
either understand not the facts, or find it convenient 
to ignore them. 



^62 UNION OF THE SEXES. 

It is true that marriage, like many other good 
things, may become degraded to the lowest and basest 
purposes — it may be associated with all that is vile 
and worthless, and converted into a curse instead of 
a blessing. On the other hand it may cherish and de- 
velop the holiest dispositions of mankind, promote 
love, fidelity and truth, and do more for human hap- 
piness than the most romantic enthusiast has ever 
conceived. 

No bond on earth can be more pleasureable than 
that in which all members of the family are bound 
together by domestic ties; where they are properly 
respected and faithfully adhered to, no pleasure on 
earth is so great as that of living in a state of matri- 
mony. 

Thus wise legislstors have always given encourage- 
ment to marriage. Caesar gave rewards to those who 
had many children, and prohibited women under for 
ty-five years of age from wearing jewels who were un- 
married and had no children. 

Augustus went still further, and inflicted new pun- 
ishments on those who remained single, while he re- 
warded those who were married, particularly if they 
had children. The law was not popular, however, 
and at the end of thirty-four years it was repealed. 
Louis XIV encouraged early marriages, and recom- 
pensed the fathers of families who had legitimate 
children. 

The most agreeable companion that a man can 
have is a kind and loving wife, who will share his 
pleasures and his pains; who is always rejoiced to hear 



FEMA.LE SYRINGE. 26^ 

of his prosperity, but who clings to him all the more 
closely in adversity. It is, however, late in life — in 
the season of the sere leaves of life's autumn — that 
this rare and rich blessing is, and must be more high- 
ly appreciated. 

It has been proved by ample statistics, that married 
men live longer than bachelors. This is doubtless the 
case, if the parties live happily together; otherwise, 
bachelors have the advantge. In a happy marriage, 
everything conduces to enjoyment, to well-being, 
health and longevity; for life is passed without 
shocks and agitation. But, in an unhappy marriage 
when each person is a perpetual cross to the other, 
everjrthing is anguish, torment, trouble and disquie- 
tude; to-day, to-morrow and always; ateach moment 
the bitter cup — full to overflowing — approaches and 
touches the lips. Is there a constitution sufficiently 
strong, or health sufficiently robust, a soul sufficient- 
ly firm, to flatter itself that it can resist such cruel at- 
tacks? 

As these unhappy marriages are very common, no 
one should ally himself to one whom he does not sin- 
cerely love. It is not enough that the parties agree 
in their sentiments and opinions. Let them never 
make the deplorable mistake of marrying one who has 
wavered during courtship, or who has evinced the 
least disposition to favor some other person of the 
opposite sex. 

FEMALE SYRINGE. 

There are various styles of syringes for the use of 
females, some are made of glass, others of Brittania, 



254 TO MY PATEOi^S, 

hard rubber^ etc. But those manufactured from rub- 
ber for us are altogether the most efficient instru- 
ments. This instrument will throw a volume of water 
or other fluid with great force, so as to penetrate ev- 
ery part of the vaginal cavity; and it may be used for 
years without losing its elasticity, while others are apt 
to become worthless after a few months use. Xo one 
good habit conduces more to the health of the female 
than of occasionally syringing the vagina, and keep- 
ing the organs of procreation cleanly, and free from 
corrosive acrimonious secretions. Ladies wishing to 
possess themselves of an excellent; article of this kind 
can be supplied confidentially on application in per- 
son or by mail. Price. 63; forwarded postage paid to 
any part of the United States on receipt of price. 

CONCLUDING JREMAEKS. 

Before closing my volume, I would address a few 
words of parting advice to the reader. If you are af' 
flicted, delay not an instant after the first symptoms 
of disease appear to apply to a skillful physician. Let 
no false delicacy, no fear of expense, deter you; for 
you need not hesitate to expose every secret to one 
whose lot it unfortunately is, daily to witness the in- 
roads made upon health by sexual indulgence. If you 
have the means, you are amply remunerated by the 
best medical advice. 

A FEW WOKDS TO MT PATRONS. 

My Terms. — Sometimes people say, ^'Why doyou 
have pay in advance? Why not cure us and then we 
will pay you?" A large proportion of my patients 
live hundreds of miles from me, and are entire stran- 



TO MY PATR0K3. 255 

gers; and my only protection is to receive the pay 
before I send the medicine. No mercantile house 
would esteem it a safe business to send goods on cred- 
it to strangers, and I must malve my business safe. 
My expenses are immense, my medicines are procured 
without reference to cost. I use the best, let the cost 
be what it may. I invest in my business a large for- 
tune every year. My responsibility has now been 
tested for many years. Is it unreasonable to invest a 
few dollars in an enterprise which interests your 
health, and perhaps your life? In this way I treat all 
alike, impartially. I devote all my energies and study 
to do the utmost good; and I depend upon my pat- 
ronage for my success in curing the sick, fully realiz- 
ing that I confer a blessing untold upon those I cure 
and that such cures increase my business and my 
permanent success. Humanity prompts me to do the 
very best that is possible. 

Eeferences where desired, will be furnished. 

NOTICE TO PATIENTS AND INVALID RKADEES. 

Much of Dr, Bate's practice is carried on by cor. 
respondence, and he has been successful in curing 
numerous cases, which have been conducted by letter 
only. Patients at a distance, are requested to be as 
minute as possible in describing the symptoms of 
their cases, age, habits, occupation, etc., and if any 
treatment has been previously adopted. Dr. Bate 
has made arrangements, by which the necessary rem- 
edies can be forwarded to any part of the world, safe- 
ly packed and free from observation, and it is his in- 



256 TO MY PATEOl^^S, 

variable custom to destroy all correspondence, or 
return it to the patient at the termination of each 
case. Patients may have letters or packages forward- 
ed by Initials, the most perfect confidence may be 
relied on, so that no diffidence or timidity may pre- 
vent the application for professional relief. 
Address 

DOCTOR BATE, 
288 S. Clark St., Chicago, IlL 



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